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GERMAN DOBSON CVS, L.L.C.
CH090160 EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER
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Covered Entity Details
Entity Name
EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER
Subdivision Name
EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH090160
Entity Address
839 WEST CONGRESS ST
TUCSON, AZ 85745
Grant Number
H80CS00230
Participating Start Date
12/1/1992
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
GERMAN DOBSON CVS, L.L.C.
Pharmacy Address
CVS/PHARMACY #10616
7547 E. SOUTHERN AVE.
MESA, AZ 85209
Pharmacy Comments
Contract Details
Approval Date
10/3/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2023
Agreement registered in error
Contacts
Covered Entity Signing Official
Clinton Kuntz, CEO
(520) 670-3909
Contract Pharmacy Representative
Wellpartner, a CVS Health Company
Alyssa Felton, Consultant, Account Manager
(480) 586-7265
Signed By Date
10/3/2022
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