340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
AZ PHARMACY, LLC
CHC28348-00 APPALACHIAN MOUNTAIN COMMUNITY HEALTH CENTERS
Print
Covered Entity Details
Entity Name
APPALACHIAN MOUNTAIN COMMUNITY HEALTH CENTERS
Subdivision Name
Dale Fell Community Health Center
Type
HRSA-Funded Health Center
340B ID
CHC28348-00
Entity Address
77 McDowell Street
Asheville, NC 28801-4435
Grant Number
H80CS28348
Participating Start Date
10/1/2016
Last Recertification Date
2/12/2025
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
1/14/2019
Contract Begin Date
4/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Reuben J Pettiford, President and CEO
(828) 202-5335
Contract Pharmacy Representative
PillPack, Inc.
Geoff Swindle, Administrator
(855) 745-5725
Signed By Date
1/14/2019
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