340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DIAMOND PHARMACY SERVICE
STD85007 Arizona Department of Corrections, Rehabilitation and Reentry
Print
Covered Entity Details
Entity Name
Arizona Department of Corrections, Rehabilitation and Reentry
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD85007
Entity Address
701 E JEFFERSON ST
Phoenix, AZ 85034
Grant Number
5NU51PS005071-04-00
Participating Start Date
7/1/2020
Last Recertification Date
5/10/2024
Pharmacy Details
Pharmacy Name
DIAMOND PHARMACY SERVICE
Pharmacy Address
DIAMOND PHARMACY SERVICES
645 KOLTER DRIVE
INDIANA, PA 15701
Pharmacy Comments
Contract Details
Approval Date
5/6/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Richard Evitch, Assistant Director Financial Services
(602) 542-2838
Contract Pharmacy Representative
Diamond Pharmacy Services
Mark Zilmer, Chief Operating Officer
(800) 882-6337 Ext: 1036
Signed By Date
4/1/2020
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