340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CHINO VALLEY PHARMACY
FP86314 ARIZONA FAMILY HEALTH PARTNERSHIP
Print
Covered Entity Details
Entity Name
ARIZONA FAMILY HEALTH PARTNERSHIP
Subdivision Name
COMMUNITY HEALTH CENTER OF YAVAPAI- PRESCOTT VALLEY CLINIC
Type
Family Planning (Title X only)
340B ID
FP86314
Entity Address
3212 N WINDSONG DRIVE
PRESCOTT VALLEY, AZ 86314
Grant Number
FPHPA006520
Participating Start Date
7/1/2024
Last Recertification Date
Pharmacy Details
Pharmacy Name
CHINO VALLEY PHARMACY
Pharmacy Address
1932 N STATE ROUTE 89
CHINO VALLEY, AZ 86323
Pharmacy Comments
Contract Details
Approval Date
4/14/2020
Contract Begin Date
4/15/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2022
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Sharon Rickman, Director
(928) 442-5285
Contract Pharmacy Representative
Chino Valley Pharmacy
Jason Dykstra, Manager
(928) 515-0046
Signed By Date
4/14/2020
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