Contract Pharmacy Details

SMITHS FOOD & DRUG CENTERS
CH09003E SUN LIFE FAMILY HEALTH CENTER, INC.

Covered Entity Details

Entity Name

SUN LIFE FAMILY HEALTH CENTER, INC.

Subdivision Name

Sun Life Health - San Manuel Family Practice

Type

HRSA-Funded Health Center

340B ID

CH09003E

Entity Address

23 S Mcnab Pkwy
San Manuel, AZ 85631

Grant Number

H80CS00466

Participating Start Date

1/1/2000

Last Recertification Date

2/21/2025

Pharmacy Details

Pharmacy Name

SMITHS FOOD & DRUG CENTERS

Pharmacy Address

DBA FRYS FOOD & DRUG #18
10661 N ORACLE ROAD
ORO VALLEY, AZ 85737

Pharmacy Comments

Contract Details

Approval Date

9/30/2010

Contract Begin Date

9/30/2010

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Contract Pharmacy Representative

Signed By Date

9/17/2010

340B Drug Pricing Program Database