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AP 7 PHARMACY
CH09311AF ALTAMED HEALTH SERVICES CORPORATION
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Covered Entity Details
Entity Name
ALTAMED HEALTH SERVICES CORPORATION
Subdivision Name
AltaMed Medical Group: West Covina
Type
HRSA-Funded Health Center
340B ID
CH09311AF
Entity Address
1300 S. Sunset Ave.
West Covina, CA 91790
Grant Number
H80CS00142
Participating Start Date
10/1/2012
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
AP 7 PHARMACY
Pharmacy Address
PHARMEDQUEST PHARMACY SERVICES
1300 S. SUNSET AVE
WEST COVINA, CA 91790-3342
Pharmacy Comments
Contract Details
Approval Date
10/8/2014
Contract Begin Date
1/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Castulo De La Rocha, CEO
(323) 725-8751
Contract Pharmacy Representative
AltaMed
Duane Saikami, Pharmacist
(714) 364-1411
Signed By Date
10/8/2014
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