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ALISAL DRUG STORES
CHC12849-01 AXIS COMMUNITY HEALTH, INC.
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Covered Entity Details
Entity Name
AXIS COMMUNITY HEALTH, INC.
Subdivision Name
Axis Community Health - Livermore Site
Type
HRSA-Funded Health Center
340B ID
CHC12849-01
Entity Address
3311 Pacific Avenue
Livermore, CA 94550-0255
Grant Number
H80CS12849
Participating Start Date
9/9/2005
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
ALISAL DRUG STORES
Pharmacy Address
DBA: PLEASANTON CUSTOM CARE PHARMACY
4271 FIRST STREET
PLEASANTON, CA 94566
Pharmacy Comments
Contract Details
Approval Date
4/4/2014
Contract Begin Date
7/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2017
Pharmacy closed
Contacts
Covered Entity Signing Official
SUE COMPTON, CEO
(925) 201-6005
Contract Pharmacy Representative
Joseph Cardinalli, Consulting Pharmacist
(925) 846-4455
Signed By Date
4/4/2014
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