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CAREMARK KANSAS SPECIALTY PHARMACY
CHC26604-00 NEIGHBORHOOD OUTREACH ACCESS TO HEALTH
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Covered Entity Details
Entity Name
NEIGHBORHOOD OUTREACH ACCESS TO HEALTH
Subdivision Name
Heuser Family Health Center
Type
HRSA-Funded Health Center
340B ID
CHC26604-00
Entity Address
7301 E 2nd Street # 210
Scottsdale, AZ 85251
Grant Number
H80CS26604
Participating Start Date
7/1/2014
Last Recertification Date
2/2/2023
Entity Termination Date
7/1/2023
Pharmacy Details
Pharmacy Name
CAREMARK KANSAS SPECIALTY PHARMACY
Pharmacy Address
CVS/SPECIALTY OR CARELONRX SPECIALTY PHA
11162 RENNER BLVD
LENEXA, KS 66219
Pharmacy Comments
Contract Details
Approval Date
10/12/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Wendy Armendariz, Chief Executive Officer
(602) 786-0003
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/12/2021
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