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GERMAN DOBSON CVS, L.L.C.
CHC33644-00 MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT
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Covered Entity Details
Entity Name
MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT
Subdivision Name
Valleywise Health Administrative Building
Type
HRSA-Funded Health Center
340B ID
CHC33644-00
Entity Address
2601 E Roosevelt St
Phoenix, AZ 85008
Grant Number
H80CS33644
Participating Start Date
1/1/2020
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
GERMAN DOBSON CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 00086
1686 E FLORENCE BLVD
CASA GRANDE, AZ 85122
Pharmacy Comments
Contract Details
Approval Date
7/10/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Michael White, Executive Vice President, Chief Clinical Officer
(602) 344-5503
Contract Pharmacy Representative
Caremark L.L.C.
Christian reid, 340b Program Director
(401) 770-2118
Signed By Date
7/10/2023
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