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ALISAL DRUG STORES
CHC12849-02 AXIS COMMUNITY HEALTH, INC.
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Covered Entity Details
Entity Name
AXIS COMMUNITY HEALTH, INC.
Subdivision Name
Axis Community Health - Hacienda
Type
HRSA-Funded Health Center
340B ID
CHC12849-02
Entity Address
5925 W Las Positas Blvd UNIT 100
Pleasanton, CA 94588-8537
Grant Number
H80CS12849
Participating Start Date
7/1/2016
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
ALISAL DRUG STORES
Pharmacy Address
DBA: PLEASANTON CUSTOM CARE PHARMACY
4271 FIRST STREET
PLEASANTON, CA 94566
Pharmacy Comments
Contract Details
Approval Date
4/11/2016
Contract Begin Date
7/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2017
Pharmacy closed
Contacts
Covered Entity Signing Official
SUE COMPTON, CEO
(925) 201-6005
Contract Pharmacy Representative
Joseph Cardinalli, Consulting Pharmacist
(925) 846-4455
Signed By Date
4/11/2016
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