Contract Pharmacy Details

SMITHS FOOD AND DRUG CENTERS INC.
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

SMITHS FOOD AND DRUG CENTERS INC.

Pharmacy Address

DBA: FRY'S FOOD STRORES OF AZ #679
15950 SOUTH RANCHO SAHUARITA BLVD
SAHUARITA, AZ 85629

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