Contract Pharmacy Details

SMITH'S FOOD DRUG CENTERS, INC
CH093030 ADELANTE HEALTHCARE, INC.

Covered Entity Details

Entity Name

ADELANTE HEALTHCARE, INC.

Subdivision Name

Adelante Healthcare

Type

HRSA-Funded Health Center

340B ID

CH093030

Entity Address

3033 N. Central Ave.
Phoenix, AZ 85012-4403

Grant Number

H80CS00140

Participating Start Date

12/1/1992

Last Recertification Date

2/12/2025

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

1/24/2022

Contract Begin Date

4/1/2022

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

2/8/2023
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Pedro Cons, CEO
(623) 583-3001 Ext: 011105

Contract Pharmacy Representative

Kroger
Anastasia Frey, Senior Manager, Payor Contracting
(513) 698-1875

Signed By Date

1/24/2022

340B Drug Pricing Program Database