Contract Pharmacy Details

ADVANCED PHARMACY, LLC
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

ADVANCED PHARMACY, LLC

Pharmacy Address

ADVANCED PHARMACY
350 FEASTER ROAD
SUITE D
GREENVILLE, SC 29615-6176

Pharmacy Comments

Contract Details

Approval Date

7/18/2016

Contract Begin Date

10/1/2016

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/2/2018
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

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

Contract Pharmacy Representative

Gregory P. Santulli, President
(770) 339-1190 Ext: 7063

Signed By Date

7/18/2016

340B Drug Pricing Program Database