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WALGREEN ARIZONA DRUG CO.
CH09009F Mariposa Community Health Center, Inc.
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Covered Entity Details
Entity Name
Mariposa Community Health Center, Inc.
Subdivision Name
Mariposa Nogales North
Type
HRSA-Funded Health Center
340B ID
CH09009F
Entity Address
3231 N Grand Ave
Nogales, AZ 85621-3905
Grant Number
H80CS00752
Participating Start Date
7/1/2023
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WALGREEN ARIZONA DRUG CO.
Pharmacy Address
DBA: WALGREENS # 07623
1959 N GRAND AVE
NOGALES, AZ 85621-1341
Pharmacy Comments
Contract Details
Approval Date
10/10/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Daniel Prevost, CEO
(520) 281-1550 Ext: 1005
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/10/2023
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