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WALGREEN ARIZONA DRUG CO.
CH09303E ADELANTE HEALTHCARE, INC.
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Covered Entity Details
Entity Name
ADELANTE HEALTHCARE, INC.
Subdivision Name
Adelante Healthcare Surprise
Type
HRSA-Funded Health Center
340B ID
CH09303E
Entity Address
15351 W. Bell Road
Surprise, AZ 85374
Grant Number
H80CS00140
Participating Start Date
4/1/1999
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
WALGREEN ARIZONA DRUG CO.
Pharmacy Address
DBA: WALGREENS # 06428
15385 N DYSART ROAD
EL MIRAGE, AZ 85335
Pharmacy Comments
Contract Details
Approval Date
8/31/2006
Contract Begin Date
8/31/2006
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/30/2016
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
8/11/2006
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