Contract Pharmacy Details

AZ PHARMACY, LLC
CHC08217-00 LONGVIEW WELLNESS CENTER, INC.

Covered Entity Details

Entity Name

LONGVIEW WELLNESS CENTER, INC.

Subdivision Name

Wellness Pointe - Longview Buliding 3

Type

HRSA-Funded Health Center

340B ID

CHC08217-00

Entity Address

1107 E. Marshall Avenue
Building 3
Longview, TX 75601

Grant Number

H80CS08217

Participating Start Date

10/1/2009

Last Recertification Date

3/4/2025

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

4/9/2020

Contract Begin Date

7/1/2020

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Chad Jones, Chief Executive Officer
(903) 212-4777

Contract Pharmacy Representative

PillPack, Inc.
Geoff Swindle, Administrator
(855) 745-5725

Signed By Date

4/9/2020

340B Drug Pricing Program Database