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AVELLA OF PHOENIX III
CH033090 CORNERSTONE CARE, INC.
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Covered Entity Details
Entity Name
CORNERSTONE CARE, INC.
Subdivision Name
Cornerstone Care Community Health Center of Greensboro
Type
HRSA-Funded Health Center
340B ID
CH033090
Entity Address
7 Glassworks Rd
GREENSBORO, PA 15338
Grant Number
H80CS00401
Participating Start Date
12/1/1992
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
AVELLA OF PHOENIX III
Pharmacy Address
1101 N CENTRAL AVE., STE. 102
PHOENIX, AZ 85004
Pharmacy Comments
Contract Details
Approval Date
10/15/2015
Contract Begin Date
1/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/23/2015
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
RICHARD T. RINEHART, CEO
(724) 943-3308 Ext: 127
Contract Pharmacy Representative
Avella
Nancy McCutcheon, Senior Vice President, Strategic Services
(651) 983-0677
Signed By Date
10/15/2015
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