340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
AZ PHARMACY, LLC
CH05036C Great Lakes Bay Health Centers
Print
Covered Entity Details
Entity Name
Great Lakes Bay Health Centers
Subdivision Name
Great Lakes Bay Health Centers Janes Street
Type
HRSA-Funded Health Center
340B ID
CH05036C
Entity Address
1522 Janes St
Saginaw, MI 48601
Grant Number
H80CS00689
Participating Start Date
4/1/1999
Last Recertification Date
2/27/2025
Pharmacy Details
Pharmacy Name
AZ PHARMACY, LLC
Pharmacy Address
DBA AMAZON PHARMACY #002
3809 E WATKINS ST
PHOENIX, AZ 85034
Pharmacy Comments
Contract Details
Approval Date
1/11/2019
Contract Begin Date
4/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/24/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Brenda Marie Coughlin, President/CEO
(989) 759-6467
Contract Pharmacy Representative
PillPack, Inc.
Geoff Swindle, Administrator
(855) 745-5725
Signed By Date
1/11/2019
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