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QOL MEDS
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
QOL MEDS
Pharmacy Address
15317 W BELL RD
STE 106
SURPRISE, AZ 85374
Pharmacy Comments
Contract Details
Approval Date
10/3/2012
Contract Begin Date
10/3/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/29/2017
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Benjamin Locklear, CFO
(623) 583-3001
Contract Pharmacy Representative
Genoa healthcare, LLC
Larry Hart, Director New Business
(412) 613-4434
Signed By Date
10/5/2012
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