Contract Pharmacy Details

SMITH'S FOOD DRUG CENTERS, INC
CH09003A SUN LIFE FAMILY HEALTH CENTER, INC.

Covered Entity Details

Entity Name

SUN LIFE FAMILY HEALTH CENTER, INC.

Subdivision Name

Sun Life Health - Maricopa Center for Women

Type

HRSA-Funded Health Center

340B ID

CH09003A

Entity Address

44765 W. HATHAWAY AVE
MARICOPA, AZ 85139-9998

Grant Number

H80CS00466

Participating Start Date

7/1/2004

Last Recertification Date

2/21/2025

Pharmacy Details

Pharmacy Name

SMITH'S FOOD DRUG CENTERS, INC

Pharmacy Address

FRYS PHARMACY #672
20797 N JOHN WAYNE PKWY
MARICOPA, AZ 85139

Pharmacy Comments

Contract Details

Approval Date

9/30/2010

Contract Begin Date

9/30/2010

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Contract Pharmacy Representative

Signed By Date

9/17/2010

340B Drug Pricing Program Database