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AZ PHARMACY, LLC
CH010800 FAMILY HEALTH CENTER OF WORCESTER, INC.
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Covered Entity Details
Entity Name
FAMILY HEALTH CENTER OF WORCESTER, INC.
Subdivision Name
FAMILY HEALTH CENTER OF WORCESTER, INC.
Type
HRSA-Funded Health Center
340B ID
CH010800
Entity Address
26 Queen St
Worcester, MA 01610-2473
Grant Number
H80CS00452
Participating Start Date
10/1/1999
Last Recertification Date
2/10/2025
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
7/11/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Louis Arthur Brady, CEO
(617) 519-3117
Contract Pharmacy Representative
PillPack, Inc.
Geoff Swindle, Administrator
(855) 745-5725
Signed By Date
7/11/2019
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