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AP8 PHARMACY
CH09311AJ ALTAMED HEALTH SERVICES CORPORATION
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Covered Entity Details
Entity Name
ALTAMED HEALTH SERVICES CORPORATION
Subdivision Name
AltaMed Medical Group: Santa Ana Bristol Clinic
Type
HRSA-Funded Health Center
340B ID
CH09311AJ
Entity Address
2720 S Bristol St STE 110
Santa Ana, CA 92704-6210
Grant Number
H80CS00142
Participating Start Date
7/1/2014
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
AP8 PHARMACY
Pharmacy Address
PHARMEDQUEST PHARMACY SERVICES
2720 S. BRISTOL ST.
STE 102
SANTA ANA, CA 92704-6230
Pharmacy Comments
Contract Details
Approval Date
10/9/2015
Contract Begin Date
1/1/2016
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
Jose Esparza, Sr. VP, Finance & CFO
(323) 889-7320
Contract Pharmacy Representative
AltaMed
Duane Saikami, Pharmacist
(714) 364-1411
Signed By Date
10/9/2015
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