340B Drug Pricing Program Database
MELROSE PHARMACY
STD850131 Your Health and Wellness PLLC - information as of 5/25/2025 2:07:25 AM
Covered Entity Details
Entity Name
Your Health and Wellness PLLC
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD850131
Entity Address
635 W Glenrosa Avenue
Suite 104
Phoenix, AZ 85013
Grant Number
NU51PS005142
Participating Start Date
10/1/2023
Last Recertification Date
5/19/2025
Pharmacy Details
Pharmacy Name
MELROSE PHARMACY
Pharmacy Address
706 W. MONTECITO AVE
PHOENIX, AZ 85013
Pharmacy Comments
Contract Details
Approval Date
7/20/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Mark Knoblauch, Owner
(602) 625-7944
Contract Pharmacy Representative
Melrose Pharmacy
Teresa Stickler, Owner/Rph
(602) 277-4714
Signed By Date
7/10/2023
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session