340B Drug Pricing Program Database

Office of Pharmacy Affairs Logo
Effective Sunday, September 1, OPA is implementing a change to the export format for Medicaid and NPI numbers. This change affects covered entity exports that include Medicaid and/or NPI billing numbers, and the CE Daily Report in Excel format. If the number is associated with more than one state, all the states will be listed between one set of parentheses following the number - for example, 1275575227 (IN,MI,OH). This change is necessary to ensure that the exported data does not exceed Excel’s limit for field length.

AZ PHARMACY, LLC
CH010330 HILLTOWN COMMUNITY HEALTH CENTERS, INC

Covered Entity Details

Worthington Health Center
HRSA-Funded Health Center
CH010330
58 Old North Rd
Worthington, MA 01098-9753
H80CS00601
10/1/1999
1/30/2024


Pharmacy Details

DBA AMAZON PHARMACY #002
3809 E WATKINS ST
PHOENIX, AZ 85034

Contract Details

4/5/2023
7/1/2023


Contacts


John Melehov, CFO
(413) 238-4116



Amazon Pharmacy
Spencer Trygg, Sr. Account Manager
(855) 745-5725
4/5/2023