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AMC COMMUNITY PHARMACY
CH092080 ALLIANCE MEDICAL CENTER, INC.
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Covered Entity Details
Entity Name
ALLIANCE MEDICAL CENTER, INC.
Subdivision Name
ALLIANCE MEDICAL CENTER
Type
HRSA-Funded Health Center
340B ID
CH092080
Entity Address
1381 UNIVERSITY AVENUE
HEALDSBURG, CA 95448-3314
Grant Number
H80CS00249
Participating Start Date
4/1/1996
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
6/26/2015
Contract Begin Date
7/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/14/2019
Ownership change
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
6/26/2015
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