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BELLWOOD MEDICAL CENTER PHARMACY
CH09311AB AltaMed Health Services Corporation
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Covered Entity Details
Entity Name
AltaMed Health Services Corporation
Subdivision Name
AltaMed PACE - Downey
Type
HRSA-Funded Health Center
340B ID
CH09311AB
Entity Address
12130 Paramount Blvd
Downey, CA 90242
Grant Number
H80CS00142
Participating Start Date
1/1/2012
Last Recertification Date
1/31/2023
Entity Termination Date
4/1/2023
Pharmacy Details
Pharmacy Name
BELLWOOD MEDICAL CENTER PHARMACY
Pharmacy Address
10230 E ARTESIA BLVD STE 101
BELLFLOWER, CA 90706
Pharmacy Comments
Contract Details
Approval Date
12/2/2011
Contract Begin Date
1/1/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2023
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Jose Esparza, Sr. VP, Finance & CFO
(323) 889-7320
Contract Pharmacy Representative
Ryan Kim, Pharmacist
(562) 866-8281
Signed By Date
11/14/2011
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