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AVELLA OF DEER VALLEY
CH042450 WHATLEY HEALTH SERVICES, INC.
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Covered Entity Details
Entity Name
WHATLEY HEALTH SERVICES, INC.
Subdivision Name
Maude L. Whatley Health Center
Type
HRSA-Funded Health Center
340B ID
CH042450
Entity Address
2731 MARTIN L KING JR. BLVD.
TUSCALOOSA, AL 35401
Grant Number
H80CS00094
Participating Start Date
1/1/2001
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
AVELLA OF DEER VALLEY
Pharmacy Address
23620 N 20TH DR #12
PHOENIX, AZ 85085-0621
Pharmacy Comments
Contract Details
Approval Date
10/12/2015
Contract Begin Date
1/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/7/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Deborah H. Tucker, CEO
(205) 349-3250 Ext: 6135
Contract Pharmacy Representative
Avella
Nancy McCutcheon, Senior Vice President, Strategic Services
(651) 983-0677
Signed By Date
10/12/2015
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