Covered Entity Details

CHC26606-07 HORIZON HEALTH AND WELLNESS, INC. (Active) - information as of 5/20/2025 12:51:47 AM

Main Details

Name

HORIZON HEALTH AND WELLNESS, INC.

Subdivision Name

Chandler Pediatrics

Type

HRSA-Funded Health Center

Site ID

BPS-H80-037204

340B ID

CHC26606-07

Grant Number

H80CS26606

Additional Details

Current Program Status

Active

Registration Date

10/11/2023

Participating Start Date

1/1/2024

Participating Approval Date

10/12/2023

Last Recertification Date

2/10/2025

Contacts

Authorizing Official

Horizon Health And Wellness
Ben Baxter, CFO
(480) 474-5619

Primary Contact

Horizon Health And Wellness
Andrew John Horan, Director of Financial Planning
(480) 474-5516

Addresses

Street Address

1445 W. Chandler Boulevard STE B-10
Chandler, AZ 85224

Billing Address

Horizon Health And Wellness
625 N Plaza Dr
Apache Junction, AZ 85120

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
History

Comments

Comment	Last Updated On
No records to display.

Medicaid Billing

At this site, will the covered entity bill Medicaid fee-for-service for drugs purchased at 340B prices?
No

Shipping Addresses

Same as Street Address

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Carve-In Effective Date	Termination Date	Last Updated On
No records to display.

Grantee Sites

340B ID	340B Status	SiteId	Name	Sub Name	Address	City	State
CHC26606-00	Active	BPS-H80-013142	HORIZON HEALTH & WELLNESS INC	Apache Junction	625 N Plaza Dr	Apache Junction	AZ
CHC26606-01	Active	BPS-H80-037965	HORIZON HEALTH & WELLNESS INC	Florence	495 N. Pinal Parkway, Suite 106	Florence	AZ
CHC26606-02	Active	BPS-H80-032156	HORIZON HEALTH & WELLNESS INC	Casa Grande	210 E Cottonwood Ln	Casa Grande	AZ
CHC26606-03	Active	BPS-H80-033523	HORIZON HEALTH & WELLNESS INC	Yuma	1185 S Redondo Center Dr Ste 1	Yuma	AZ
CHC26606-04	Active	BPS-H80-018678	HORIZON HEALTH & WELLNESS INC	Oracle	980 E Mt Lemmon Rd	Oracle	AZ
CHC26606-05	Active	BPS-H80-024619	HORIZON HEALTH & WELLNESS INC	Casa Grande	115 W 2nd St	Casa Grande	AZ
CHC26606-06	Active	BPS-H80-018676	HORIZON HEALTH & WELLNESS INC	Queen Creek	22713 S Ellsworth Rd Bldg A	Queen Creek	AZ
CHC26606-07	Active	BPS-H80-037204	HORIZON HEALTH AND WELLNESS, INC.	Chandler Pediatrics	1445 W. Chandler Boulevard STE B-10	Chandler	AZ
CHC26606-08	Active	BPS-H80-038265	HORIZON HEALTH AND WELLNESS, INC.	Globe Clinic	415 W Baseline Spur	Globe	AZ
CHC26606-09	Active	BPS-H80-038264	HORIZON HEALTH AND WELLNESS, INC.	North Valley Pediatrics	702 East Bell Road	Phoenix	AZ

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date
CHC26606-04	GENOA HEALTHCARE LLC	10217 N METRO PKWY W RM A113		PHOENIX	AZ	85051	10/01/2023
CHC26606-03	GENOA HEALTHCARE LLC	1185 S REDONDO CENTER DR STE 3		YUMA	AZ	85365	10/01/2023
CHC26606-02	GENOA HEALTHCARE LLC	210 E COTTONWOOD LN RM 102		CASA GRANDE	AZ	85122	10/01/2023
CHC26606-01	GENOA HEALTHCARE LLC	10217 N METRO PKWY W RM A113		PHOENIX	AZ	85051	10/01/2023
CHC26606-06	GENOA HEALTHCARE LLC	10217 N METRO PKWY W RM A113		PHOENIX	AZ	85051	10/01/2023
CHC26606-06	GENOA HEALTHCARE LLC	625 N PLAZA DR		APACHE JUNCTION	AZ	85120	10/01/2023
CHC26606-03	GENOA HEALTHCARE LLC	2545 S ARIZONA AVE BLDG B		YUMA	AZ	85364	10/01/2023
CHC26606-05	GENOA HEALTHCARE LLC	210 E COTTONWOOD LN RM 102		CASA GRANDE	AZ	85122	10/01/2023
CHC26606-05	GENOA HEALTHCARE LLC	10217 N METRO PKWY W RM A113		PHOENIX	AZ	85051	10/01/2023
CHC26606-04	GENOA HEALTHCARE LLC	625 N PLAZA DR		APACHE JUNCTION	AZ	85120	10/01/2023
CHC26606-01	GENOA HEALTHCARE LLC	625 N PLAZA DR		APACHE JUNCTION	AZ	85120	10/01/2023
CHC26606-02	GENOA HEALTHCARE LLC	10217 N METRO PKWY W RM A113		PHOENIX	AZ	85051	10/01/2023
CHC26606-00	GENOA HEALTHCARE LLC	625 N PLAZA DR		APACHE JUNCTION	AZ	85120	10/01/2023
CHC26606-00	GENOA HEALTHCARE LLC	10217 N METRO PKWY W RM A113		PHOENIX	AZ	85051	10/01/2023
CHC26606-00	GERMAN DOBSON CVS, L.L.C.	CVS/PHARMACY # 10028	11464 SOUTH FORTUNA RD.	YUMA	AZ	85367	01/01/2024
CHC26606-00	GERMAN DOBSON CVS, L.L.C.	DBA: CVS/PHARMACY # 07075	2995 E. CHANDLER HEIGHTS RD.	CHANDLER	AZ	85249	01/01/2024
CHC26606-00	GERMAN DOBSON CVS, L.L.C.	DBA: CVS/PHARMACY # 00086	1686 E FLORENCE BLVD	CASA GRANDE	AZ	85122	01/01/2024
CHC26606-00	GERMAN DOBSON CVS, L.L.C.	DBA: CVS/PHARMACY # 07262	18460 N. 7TH ST.	PHOENIX	AZ	85022	07/01/2024
CHC26606-00	GERMAN DOBSON CVS, L.L.C.	DBA: CVS/PHARMACY # 07116	1855 W. THUNDERBIRD RD.	PHOENIX	AZ	85023	07/01/2024
CHC26606-00	GERMAN DOBSON CVS, L.L.C.	CVS PHARMACY # 17312	16806 N 7TH ST	PHOENIX	AZ	85022	07/01/2024
CHC26606-00	GERMAN DOBSON CVS, L.L.C.	DBA CVS/PHARMACY #11144	100 NORTH BROAD ST.	GLOBE	AZ	85501	07/01/2024
CHC26606-00	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	10/01/2024
CHC26606-00	WAL-MART PHARMACY 10-1381	2555 WEST APACHE TRAIL		APACHE JUNCTION	AZ	85120	10/01/2024
CHC26606-00	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	10/01/2024
CHC26606-03	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 06129	2021 N PINAL AVE	CASA GRANDE	AZ	85122	01/01/2024
CHC26606-02	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS #10505	2785 N. PINAL AVE	CASA GRANDE	AZ	85122	01/01/2024
CHC26606-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 02611	1150 W 8TH ST STE A	YUMA	AZ	85364	01/01/2024
CHC26606-04	WALGREEN ARIZONA DRUG CO.	WALGREENS CENTRAL FILL #21372	120 N 83RD AVE STE 200	TOLLESON	AZ	85353	01/01/2024
CHC26606-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 04188	55 W. APACHE TRAIL	APACHE JUNCTION	AZ	85120	01/01/2024
CHC26606-04	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS #12335	10825 E BASELINE RD	MESA	AZ	85209	01/01/2024
CHC26606-04	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 06440	6951 S KINGS RANCH RD	GOLD CANYON	AZ	85118	01/01/2024
CHC26606-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS #10505	2785 N. PINAL AVE	CASA GRANDE	AZ	85122	01/01/2024
CHC26606-04	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 06129	2021 N PINAL AVE	CASA GRANDE	AZ	85122	01/01/2024
CHC26606-06	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 04188	55 W. APACHE TRAIL	APACHE JUNCTION	AZ	85120	01/01/2024
CHC26606-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS #10505	2785 N. PINAL AVE	CASA GRANDE	AZ	85122	01/01/2024
CHC26606-01	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS #10505	2785 N. PINAL AVE	CASA GRANDE	AZ	85122	01/01/2024
CHC26606-05	WALGREEN ARIZONA DRUG CO.	WALGREENS CENTRAL FILL #21372	120 N 83RD AVE STE 200	TOLLESON	AZ	85353	01/01/2024
CHC26606-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 06129	2021 N PINAL AVE	CASA GRANDE	AZ	85122	01/01/2024
CHC26606-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 02771	1305 S GREENFIELD RD	MESA	AZ	85206	01/01/2024
CHC26606-01	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 06129	2021 N PINAL AVE	CASA GRANDE	AZ	85122	01/01/2024
CHC26606-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 06440	6951 S KINGS RANCH RD	GOLD CANYON	AZ	85118	01/01/2024
CHC26606-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 05392	420 S. SOSSAMAN ROAD	MESA	AZ	85208	01/01/2024
CHC26606-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 06333	2440 S IRONWOOD DRIVE	APACHE JUNCTION	AZ	85120	01/01/2024
CHC26606-06	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 05392	420 S. SOSSAMAN ROAD	MESA	AZ	85208	01/01/2024
CHC26606-03	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS #10505	2785 N. PINAL AVE	CASA GRANDE	AZ	85122	01/01/2024
CHC26606-06	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 02771	1305 S GREENFIELD RD	MESA	AZ	85206	01/01/2024
CHC26606-02	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS #12335	10825 E BASELINE RD	MESA	AZ	85209	01/01/2024
CHC26606-03	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS #12335	10825 E BASELINE RD	MESA	AZ	85209	01/01/2024
CHC26606-04	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 09652	1575 N ARIZONA BLVD	COOLIDGE	AZ	85128	01/01/2024
CHC26606-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 09652	1575 N ARIZONA BLVD	COOLIDGE	AZ	85128	01/01/2024
CHC26606-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 04188	55 W. APACHE TRAIL	APACHE JUNCTION	AZ	85120	01/01/2024
CHC26606-03	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 02771	1305 S GREENFIELD RD	MESA	AZ	85206	01/01/2024
CHC26606-02	WALGREEN ARIZONA DRUG CO.	WALGREENS CENTRAL FILL #21372	120 N 83RD AVE STE 200	TOLLESON	AZ	85353	01/01/2024
CHC26606-04	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 05392	420 S. SOSSAMAN ROAD	MESA	AZ	85208	01/01/2024
CHC26606-03	WALGREEN ARIZONA DRUG CO.	WALGREENS CENTRAL FILL #21372	120 N 83RD AVE STE 200	TOLLESON	AZ	85353	01/01/2024
CHC26606-02	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 02219	2801 S 4TH AVE	YUMA	AZ	85364	01/01/2024
CHC26606-04	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 02771	1305 S GREENFIELD RD	MESA	AZ	85206	01/01/2024
CHC26606-01	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS #12335	10825 E BASELINE RD	MESA	AZ	85209	01/01/2024
CHC26606-06	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS #12335	10825 E BASELINE RD	MESA	AZ	85209	01/01/2024
CHC26606-01	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 09652	1575 N ARIZONA BLVD	COOLIDGE	AZ	85128	01/01/2024
CHC26606-01	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 06333	2440 S IRONWOOD DRIVE	APACHE JUNCTION	AZ	85120	01/01/2024
CHC26606-02	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 05392	420 S. SOSSAMAN ROAD	MESA	AZ	85208	01/01/2024
CHC26606-01	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 06440	6951 S KINGS RANCH RD	GOLD CANYON	AZ	85118	01/01/2024
CHC26606-03	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 02219	2801 S 4TH AVE	YUMA	AZ	85364	01/01/2024
CHC26606-04	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 04188	55 W. APACHE TRAIL	APACHE JUNCTION	AZ	85120	01/01/2024
CHC26606-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 06129	2021 N PINAL AVE	CASA GRANDE	AZ	85122	01/01/2024
CHC26606-03	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 09652	1575 N ARIZONA BLVD	COOLIDGE	AZ	85128	01/01/2024
CHC26606-03	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 06440	6951 S KINGS RANCH RD	GOLD CANYON	AZ	85118	01/01/2024
CHC26606-02	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 09652	1575 N ARIZONA BLVD	COOLIDGE	AZ	85128	01/01/2024
CHC26606-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 06440	6951 S KINGS RANCH RD	GOLD CANYON	AZ	85118	01/01/2024
CHC26606-01	WALGREEN ARIZONA DRUG CO.	WALGREENS CENTRAL FILL #21372	120 N 83RD AVE STE 200	TOLLESON	AZ	85353	01/01/2024
CHC26606-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 09652	1575 N ARIZONA BLVD	COOLIDGE	AZ	85128	01/01/2024
CHC26606-06	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 06129	2021 N PINAL AVE	CASA GRANDE	AZ	85122	01/01/2024
CHC26606-04	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 02219	2801 S 4TH AVE	YUMA	AZ	85364	01/01/2024
CHC26606-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 02219	2801 S 4TH AVE	YUMA	AZ	85364	01/01/2024
CHC26606-00	WALGREEN ARIZONA DRUG CO.	WALGREENS CENTRAL FILL #21372	120 N 83RD AVE STE 200	TOLLESON	AZ	85353	01/01/2024
CHC26606-04	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 06333	2440 S IRONWOOD DRIVE	APACHE JUNCTION	AZ	85120	01/01/2024
CHC26606-01	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 02771	1305 S GREENFIELD RD	MESA	AZ	85206	01/01/2024
CHC26606-02	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 06129	2021 N PINAL AVE	CASA GRANDE	AZ	85122	01/01/2024
CHC26606-01	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 04188	55 W. APACHE TRAIL	APACHE JUNCTION	AZ	85120	01/01/2024
CHC26606-03	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 06333	2440 S IRONWOOD DRIVE	APACHE JUNCTION	AZ	85120	01/01/2024
CHC26606-06	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 06440	6951 S KINGS RANCH RD	GOLD CANYON	AZ	85118	01/01/2024
CHC26606-03	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 05392	420 S. SOSSAMAN ROAD	MESA	AZ	85208	01/01/2024
CHC26606-06	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 06333	2440 S IRONWOOD DRIVE	APACHE JUNCTION	AZ	85120	01/01/2024
CHC26606-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS #12335	10825 E BASELINE RD	MESA	AZ	85209	01/01/2024
CHC26606-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 02771	1305 S GREENFIELD RD	MESA	AZ	85206	01/01/2024
CHC26606-02	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 02771	1305 S GREENFIELD RD	MESA	AZ	85206	01/01/2024
CHC26606-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 06333	2440 S IRONWOOD DRIVE	APACHE JUNCTION	AZ	85120	01/01/2024
CHC26606-01	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 02219	2801 S 4TH AVE	YUMA	AZ	85364	01/01/2024
CHC26606-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 05392	420 S. SOSSAMAN ROAD	MESA	AZ	85208	01/01/2024
CHC26606-06	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 02219	2801 S 4TH AVE	YUMA	AZ	85364	01/01/2024
CHC26606-01	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 05392	420 S. SOSSAMAN ROAD	MESA	AZ	85208	01/01/2024
CHC26606-03	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 04188	55 W. APACHE TRAIL	APACHE JUNCTION	AZ	85120	01/01/2024
CHC26606-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS #12335	10825 E BASELINE RD	MESA	AZ	85209	01/01/2024
CHC26606-02	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 06333	2440 S IRONWOOD DRIVE	APACHE JUNCTION	AZ	85120	01/01/2024
CHC26606-02	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 04188	55 W. APACHE TRAIL	APACHE JUNCTION	AZ	85120	01/01/2024
CHC26606-06	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 09652	1575 N ARIZONA BLVD	COOLIDGE	AZ	85128	01/01/2024
CHC26606-06	WALGREEN ARIZONA DRUG CO.	WALGREENS CENTRAL FILL #21372	120 N 83RD AVE STE 200	TOLLESON	AZ	85353	01/01/2024
CHC26606-06	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS #10505	2785 N. PINAL AVE	CASA GRANDE	AZ	85122	01/01/2024
CHC26606-04	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS #10505	2785 N. PINAL AVE	CASA GRANDE	AZ	85122	01/01/2024
CHC26606-02	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 06440	6951 S KINGS RANCH RD	GOLD CANYON	AZ	85118	01/01/2024
CHC26606-00	WALMART PHARMACY 10-5169	2252 NORTH 8TH STREET	SUITE A	ROGERS	AR	72756	10/01/2024
CHC26606-00	Walmart Pharmacy 10-7611	2501 Perry Rd		Plainfield	IN	46168	10/01/2024

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Last Recertification Date	Update	Recertification	2/4/2024 7:57:09 PM	2/10/2025 10:43:48 AM	2/10/2025 10:43 AM
Details	Last Recertification Date	Update	Recertification		2/4/2024 7:57:09 PM	2/4/2024 7:57 PM
Details	State	Update		Approved	Active	1/1/2024 12:01 AM
Contacts	Signed By	Insert	New Registration		Baxter, Ben CFO Horizon Health And Wellness 4804745619	10/12/2023 9:49 AM
Details	340B ID	Update	New Registration		CHC26606-07	10/12/2023 9:49 AM
Dates	Participating Approval Date	Update	New Registration		10/12/2023 9:49:14 AM	10/12/2023 9:49 AM
Details	State	Update	New Registration	Pending	Approved	10/12/2023 9:49 AM
Dates	Signed By Date	Update	New Registration		10/11/2023 3:39:08 PM	10/12/2023 9:49 AM
Dates	Start Date	Update	New Registration		1/1/2024 12:00:00 AM	10/12/2023 9:49 AM
Addresses	Main Address	Insert	New Registration		1445 W. Chandler Boulevard STE B-10 Chandler, AZ 85224	10/11/2023 1:42 PM
Addresses	Billing Address	Insert	New Registration		Horizon Health And Wellness 625 N Plaza Dr Apache Junction, AZ 85120	10/11/2023 1:42 PM
Contacts	Primary Contact	Insert	New Registration		Horan, Andrew John Director of Financial Planning Horizon Health And Wellness 4804745516	10/11/2023 1:42 PM
Contacts	Authorizing Official	Insert	New Registration		Baxter, Ben CFO Horizon Health And Wellness 4804745619	10/11/2023 1:42 PM
Details	Assistance Received From Date	Insert	New Registration			10/11/2023 1:42 PM
Details	Assistance Received To Date	Insert	New Registration			10/11/2023 1:42 PM
Details	Last Recertification Date	Insert	New Registration			10/11/2023 1:42 PM
Details	Grant Number	Insert	New Registration		H80CS26606	10/11/2023 1:42 PM
Details	340B ID	Insert	New Registration			10/11/2023 1:42 PM
Details	Is Authorizing Official EHB Data	Insert	New Registration			10/11/2023 1:42 PM
Dates	Last Date That 340B Drugs Purchased	Insert	New Registration			10/11/2023 1:42 PM
Details	Medicare Provider Number	Insert	New Registration			10/11/2023 1:42 PM
Details	Entity Name	Insert	New Registration		HORIZON HEALTH AND WELLNESS, INC.	10/11/2023 1:42 PM
Details	NOFO Number	Insert	New Registration			10/11/2023 1:42 PM
Details	Program Code	Insert	New Registration		CH	10/11/2023 1:42 PM
Details	Entity Subname	Insert	New Registration		Chandler Pediatrics	10/11/2023 1:42 PM
Dates	Participating Approval Date	Insert	New Registration			10/11/2023 1:42 PM
Details	State	Insert	New Registration		Pending	10/11/2023 1:42 PM
Dates	Registration Date	Insert	New Registration		10/11/2023 1:42:22 PM	10/11/2023 1:42 PM
Dates	Signed By Date	Insert	New Registration			10/11/2023 1:42 PM
Dates	Start Date	Insert	New Registration			10/11/2023 1:42 PM
Terminations	Termination Comments	Insert	New Registration			10/11/2023 1:42 PM
Terminations	Termination Date	Insert	New Registration			10/11/2023 1:42 PM
Terminations	Termination Effective Date	Insert	New Registration			10/11/2023 1:42 PM
Terminations	Termination Reason	Insert	New Registration			10/11/2023 1:42 PM

340B Drug Pricing Program Database