340B Drug Pricing Program Database

Name

Maricopa County Special Health Care District

Subdivision Name

7TH AVENUE FAMILY HEALTH CENTER

Type

Health Center Program Look-Alike

Site ID

BPS-LAL-009889

340B ID

FQHCLA225D

Grant Number

LALCS00037

Current Program Status

Terminated

Registration Date

9/11/2007

Participating Start Date

10/1/2007

Participating Approval Date

9/14/2007

Last Recertification Date

2/14/2019

Termination Date
Termination Reason

4/1/2020
Business decision by the Covered Entity

Authorizing Official

Maricopa County Special Health Care District
Richard Mutarelli, Executive Vice President, Chief Financial Officer
(602) 344-8425

Primary Contact

Maricopa County Special Health Care District
Anna Sogard, Director of Pharmacy
(602) 344-5253

Street Address

1205 S 7TH AVENUE
PHOENIX, AZ 85007

Billing Address

MARICOPA MEDICAL CENTER
2601 E. ROOSEVELT STREET
PHOENIX, AZ 85008