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RX E-FILL SOLUTIONS
CH09311AG ALTAMED HEALTH SERVICES CORPORATION
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Covered Entity Details
Entity Name
ALTAMED HEALTH SERVICES CORPORATION
Subdivision Name
AltaMed Medical Group at Hollywood Presbyterian Medical Center
Type
HRSA-Funded Health Center
340B ID
CH09311AG
Entity Address
1300 North Vermont Avenue, Patient Tower, First Floor
Los Angeles, CA 90027
Grant Number
H80CS00142
Participating Start Date
1/1/2014
Last Recertification Date
2/10/2020
Entity Termination Date
4/1/2020
Pharmacy Details
Pharmacy Name
RX E-FILL SOLUTIONS
Pharmacy Address
CARDINAL HEALTH PHARMACY SERVICES, LLC
27680 AVENUE MENTRY STE 100
VALENCIA, CA 91355
Pharmacy Comments
Contract Details
Approval Date
1/13/2016
Contract Begin Date
4/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2020
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Jose Esparza, Sr. VP, Finance & CFO
(323) 889-7320
Contract Pharmacy Representative
Cardinal Health Pharmacy
Robert Kulis, SVP GM Pharmacy Solutions
(281) 749-4083
Signed By Date
1/13/2016
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