340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DEWEY PHARMACY
FP86301 ARIZONA FAMILY HEALTH PARTNERSHIP
Print
Covered Entity Details
Entity Name
ARIZONA FAMILY HEALTH PARTNERSHIP
Subdivision Name
COMMUNITY HEALTH CENTER OF YAVAPAI - PRESCOTT CLINIC
Type
Family Planning (Title X only)
340B ID
FP86301
Entity Address
1090 COMMERCE DRIVE
PRESCOTT, AZ 86305
Grant Number
FPHPA006520
Participating Start Date
7/1/2024
Last Recertification Date
Entity Termination Date
4/1/2025
Pharmacy Details
Pharmacy Name
DEWEY PHARMACY
Pharmacy Address
NORTHERN ARIZONA PHARMACY, LLC
12075 E STATE ROUTE 69 STE E
DEWEY, AZ 86327-4517
Pharmacy Comments
Contract Details
Approval Date
6/25/2021
Contract Begin Date
6/29/2021
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
6/25/2021
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