Contract Pharmacy Details

SMITH'S FOOD AND DRUG
CH090080 MARANA HEALTH CENTER, INC.

Covered Entity Details

Entity Name

MARANA HEALTH CENTER, INC.

Subdivision Name

Marana Health Center, Inc.

Type

HRSA-Funded Health Center

340B ID

CH090080

Entity Address

13395 N. Marana Main Street
MARANA, AZ 85653

Grant Number

H80CS00231

Participating Start Date

7/1/1999

Last Recertification Date

2/10/2025

Pharmacy Details

Pharmacy Name

SMITH'S FOOD AND DRUG

Pharmacy Address

DBA FRY'S FOOD AND DRUG #138
4036 N. 1ST STREET
TUCSON, AZ 85719

Pharmacy Comments

Contract Details

Approval Date

1/9/2015

Contract Begin Date

4/1/2015

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Greg Redding, Director of Pharmacy
(520) 682-4111

Contract Pharmacy Representative

Kroger
Mike Puccini, New Business Development Manager
(513) 762-4672

Signed By Date

1/9/2015

340B Drug Pricing Program Database