340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
ARIZONA CVS STORES, L.L.C.
CHC26604-05 NEIGHBORHOOD OUTREACH ACCESS TO HEALTH
Print
Covered Entity Details
Entity Name
NEIGHBORHOOD OUTREACH ACCESS TO HEALTH
Subdivision Name
Desert Mission Health Center
Type
HRSA-Funded Health Center
340B ID
CHC26604-05
Entity Address
9015 N 3rd St
PHOENIX, AZ 85020
Grant Number
H80CS26604
Participating Start Date
1/1/2016
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
ARIZONA CVS STORES, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 09225
2406 EAST THOMAS RD.
PHOENIX, AZ 85016
Pharmacy Comments
Contract Details
Approval Date
1/12/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Julia Karl, CFO
(602) 786-0004
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/12/2023
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