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VISALIA HEALTH CENTER PHARMACY
CH095340 Altura Centers for Health
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Covered Entity Details
Entity Name
Altura Centers for Health
Subdivision Name
Altura Centers for Health Cartmill Campus
Type
HRSA-Funded Health Center
340B ID
CH095340
Entity Address
1134 E Cartmill Avenue
TULARE, CA 93274-9615
Grant Number
H80CS00338
Participating Start Date
4/1/1999
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
VISALIA HEALTH CENTER PHARMACY
Pharmacy Address
2611 NORTH DINUBA BLVD.
VISALIA, CA 93291
Pharmacy Comments
Contract Details
Approval Date
4/12/2013
Contract Begin Date
7/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/23/2018
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Graciela Soto Perez, CEO
(559) 685-4601
Contract Pharmacy Representative
SAMEH BOULOS, Director of Pharmacy Services
(559) 623-0838
Signed By Date
4/12/2013
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