340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WESTERN DRUG INC
STD85938 Apache County Public Health Services District
Print
Covered Entity Details
Entity Name
Apache County Public Health Services District
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD85938
Entity Address
323 S Mountain Ave
Ste 102
Springerville, AZ 85938
Grant Number
NH25PS005157
Participating Start Date
7/1/2017
Last Recertification Date
5/12/2025
Pharmacy Details
Pharmacy Name
WESTERN DRUG INC
Pharmacy Address
106 EAST MAIN
P.O.BOX 111
SPRINGERVILLE, AZ 85938
Pharmacy Comments
Contract Details
Approval Date
10/15/2018
Contract Begin Date
1/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Breanne Anderson, Epidemiologist
(602) 542-9367
Contract Pharmacy Representative
Western Drug
Samantha Powers, Western Drug
(928) 333-2916
Signed By Date
10/15/2018
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session