340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
M.N. PHARMACY LLC
CH09303N Adelante Healthcare, Inc.
Print
Covered Entity Details
Entity Name
Adelante Healthcare, Inc.
Subdivision Name
Adelante Healthcare
Type
HRSA-Funded Health Center
340B ID
CH09303N
Entity Address
3033 N Central Ave
Phoenix, AZ 85012-2809
Grant Number
H80CS00140
Participating Start Date
4/1/2019
Last Recertification Date
Entity Termination Date
7/1/2019
Pharmacy Details
Pharmacy Name
M.N. PHARMACY LLC
Pharmacy Address
DBA AMAZON PHARMACY #003
6701 NW 7TH ST., STE. #199
MIAMI, FL 33126
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
7/1/2019
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Eric Battis, COO
(623) 583-3001 Ext: 1222
Contract Pharmacy Representative
PILLPACK, INC.
GEOFF SWINDLE, CHIEF BUSINESS OFFICER
(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