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AMC COMMUNITY PHARMACY
CH09208A ALLIANCE MEDICAL CENTER, INC.
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Covered Entity Details
Entity Name
ALLIANCE MEDICAL CENTER, INC.
Subdivision Name
Alliance Medical Center - Windsor
Type
HRSA-Funded Health Center
340B ID
CH09208A
Entity Address
8465 Old Redwood Hwy. STE 320
Windsor, CA 95492-9244
Grant Number
H80CS00249
Participating Start Date
1/1/2010
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
AMC COMMUNITY PHARMACY
Pharmacy Address
1381 UNIVERSITY STREET SUITE A
HEALDSBURG, CA 95448
Pharmacy Comments
Contract Details
Approval Date
10/16/2015
Contract Begin Date
1/1/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Beatrice Bostick, CEO
(707) 385-2306
Contract Pharmacy Representative
Cristie Pellegrini, Regional Director of Pharmacies
(512) 596-2930 Ext: 706
Signed By Date
10/16/2015
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