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CH09003P SUN LIFE FAMILY HEALTH CENTER, INC. (Terminated)
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Main Details
Name
SUN LIFE FAMILY HEALTH CENTER, INC.
Subdivision Name
Florence Satellite - Family Practice Office
Type
HRSA-Funded Health Center
Site ID
BPS-H80-017383
340B ID
CH09003P
Grant Number
H80CS00466
Additional Details
Current Program Status
Terminated
Registration Date
1/14/2016
Participating Start Date
4/1/2016
Participating Approval Date
2/10/2016
Last Recertification Date
2/7/2023
Termination Date
Termination Reason
10/1/2023
Other
Contacts
Authorizing Official
Sun Life Family Health Center
Eddie Estrada, Chief Executive Officer
(520) 836-3446
Primary Contact
Sun Life Family Health Center, INC
Matthew Bertsch, Director of Pharmacy
(520) 381-0363
Addresses
Street Address
150 South Main Street
Florence, AZ 85132
Billing Address
Sun Life Family Health Center, Inc
PO Box 10097
Casa Grande, AZ 85130
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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