Contract Pharmacy Details

DIPLOMAT SPECIALTY PHARMACY OF PHOENIX,
CH090780 Community Medical Centers, Inc.

Covered Entity Details

Entity Name

Community Medical Centers, Inc.

Subdivision Name

Community Medical Centers, Channel

Type

HRSA-Funded Health Center

340B ID

CH090780

Entity Address

701 E Channel St.
Stockton, CA 95202-2628

Grant Number

H80CS00138

Participating Start Date

12/1/1992

Last Recertification Date

2/21/2025

Pharmacy Details

Pharmacy Name

DIPLOMAT SPECIALTY PHARMACY OF PHOENIX,

Pharmacy Address

DIPLOMAT SPECIALTY PHARMACY
485 N. JUNIPER DR
CHANDLER, AZ 85226

Pharmacy Comments

Contract Details

Approval Date

7/18/2019

Contract Begin Date

10/1/2019

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

10/10/2021
Pharmacy closed

Contacts

Covered Entity Signing Official

Christine Noguera, CEO
(209) 373-2826

Contract Pharmacy Representative

Diplomat
Sandra Barbosa, Pharmacy Manager
(602) 366-4692

Signed By Date

7/18/2019

340B Drug Pricing Program Database