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ARIZONA CVS STORES, L.L.C.
CH090130 SUNSET COMMUNITY HEALTH CENTER
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Covered Entity Details
Entity Name
SUNSET COMMUNITY HEALTH CENTER
Subdivision Name
SUNSET COMMUNITY HEALTH CENTER, INC.
Type
HRSA-Funded Health Center
340B ID
CH090130
Entity Address
115 NORTH SOMERTON AVENUE
SOMERTON, AZ 85350-0538
Grant Number
H80CS04321
Participating Start Date
7/1/1997
Last Recertification Date
2/17/2025
Pharmacy Details
Pharmacy Name
ARIZONA CVS STORES, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 09334
2800 S 4TH AVE
YUMA, AZ 85364
Pharmacy Comments
Contract Details
Approval Date
7/1/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
DAVID D ROGERS, CEO
(928) 819-8802
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/1/2020
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