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ALTAMED PHARMACY 4
CH09311Y ALTAMED HEALTH SERVICES CORPORATION
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Covered Entity Details
Entity Name
ALTAMED HEALTH SERVICES CORPORATION
Subdivision Name
AltaMed Medical Group: Garden Grove, Harbor
Type
HRSA-Funded Health Center
340B ID
CH09311Y
Entity Address
12751 Harbor Blvd
Garden Grove, CA 92840-5800
Grant Number
H80CS00142
Participating Start Date
7/1/2009
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
ALTAMED PHARMACY 4
Pharmacy Address
PHARMEDQUEST PHARMACY SERVICES
12751 HARBOR BLVD
GARDEN GROVE, CA 92840-5800
Pharmacy Comments
Contract Details
Approval Date
3/22/2013
Contract Begin Date
4/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Jose Esparza, Sr. VP, Finance & CFO
(323) 889-7320
Contract Pharmacy Representative
AltaMed
Duane Saikami, Pharmacist
(714) 364-1411
Signed By Date
1/11/2013
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