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CVS/SPECIALTY OR CARELONRX SPECIALTY PHA
CHC12849-00 AXIS COMMUNITY HEALTH, INC.
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Covered Entity Details
Entity Name
AXIS COMMUNITY HEALTH, INC.
Subdivision Name
Axis Community Health - Pleasanton Site
Type
HRSA-Funded Health Center
340B ID
CHC12849-00
Entity Address
4361 Railroad Avenue
Pleasanton, CA 94566-6611
Grant Number
H80CS12849
Participating Start Date
4/1/2003
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
CVS/SPECIALTY OR CARELONRX SPECIALTY PHA
Pharmacy Address
CAREMARK, LLC
1001 SPINKS ROAD, STE 280
FLOWER MOUND, TX 75028
Pharmacy Comments
Contract Details
Approval Date
1/15/2025
Contract Begin Date
4/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Liz Perez-Howe, CEO
(925) 201-6005
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/15/2025
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