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ACTON VALE PHARMACY
CHC22686-00 BARTZ-ALTADONNA COMMUNITY HEALTH CENTER
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Covered Entity Details
Entity Name
BARTZ-ALTADONNA COMMUNITY HEALTH CENTER
Subdivision Name
Bartz-Altadonna Community Health Center
Type
HRSA-Funded Health Center
340B ID
CHC22686-00
Entity Address
43322 Gingham Ave.
43322
Gingham Ave
Lancaster, CA 93535
Grant Number
H80CS22686
Participating Start Date
7/1/2012
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
ACTON VALE PHARMACY
Pharmacy Address
THE BAIDEN GROUP INC.
3630 SMITH AVE
SUITE A
ACTON, CA 93510
Pharmacy Comments
Contract Details
Approval Date
4/1/2013
Contract Begin Date
7/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/30/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Darrell Lind, CEO
(661) 341-3840 Ext: 114
Contract Pharmacy Representative
Acton Vale Pharmacy
Amma Amihyia, Owner
(661) 269-9911
Signed By Date
4/1/2013
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