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PHOENIX PHARMACY
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
PHOENIX PHARMACY
Pharmacy Address
MESA NEIGHBORHOOD PHARMACY LLC
1701 E THOMAS RD STE 105
PHOENIX, AZ 85016-7672
Pharmacy Comments
Contract Details
Approval Date
10/2/2023
Contract Begin Date
1/1/2024
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
Phoenix Pharmacy Mesa Neighborhood Pharmacy, LLC
Vittelian Forbes, Pharmacist In Charge
(480) 329-9585
Signed By Date
10/2/2023
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