340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
COLUMBUS PHARMACY
CH09311AA AltaMed Health Services Corporation
Print
Covered Entity Details
Entity Name
AltaMed Health Services Corporation
Subdivision Name
AltaMed PACE - Grand Plaza
Type
HRSA-Funded Health Center
340B ID
CH09311AA
Entity Address
701 CESAR E. CHAVEZ AVE
SUITE 201
LOS ANGELES, CA 90012
Grant Number
H80CS00142
Participating Start Date
1/1/2010
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
COLUMBUS PHARMACY
Pharmacy Address
861 N BROADWAY
LOS ANGELES, CA 90012
Pharmacy Comments
Contract Details
Approval Date
1/29/2010
Contract Begin Date
1/29/2010
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Ken Thai, Pharmacist in Charge
(626) 448-2576
Signed By Date
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session