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CLINIC PHARMACIES III, INC
CH09242E OLE Health
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Covered Entity Details
Entity Name
OLE Health
Subdivision Name
OLE Health - Trancas Ste 250
Type
HRSA-Funded Health Center
340B ID
CH09242E
Entity Address
1100 Trancas St. STE 250
Napa, CA 94558-2909
Grant Number
H80CS04219
Participating Start Date
10/1/2012
Last Recertification Date
1/30/2019
Entity Termination Date
10/1/2019
Pharmacy Details
Pharmacy Name
CLINIC PHARMACIES III, INC
Pharmacy Address
DBA CLINIC OLE PHARMACY
1141 PEAR TREE LN STE 250
NAPA, CA 94558-6445
Pharmacy Comments
Contract Details
Approval Date
10/15/2015
Contract Begin Date
1/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2019
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Tanir Ami, Chief Executive Officer
(707) 254-1770 Ext: 214
Contract Pharmacy Representative
imgRx
Cristie Pellegrini, National Pharmacy Director
(512) 596-2930 Ext: 706
Signed By Date
10/15/2015
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