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ARIZONA CVS STORES, L.L.C.
CH09009B Mariposa Community Health Center, Inc.
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Covered Entity Details
Entity Name
Mariposa Community Health Center, Inc.
Subdivision Name
Mariposa Community Health Center's Tubac Regional Health Center
Type
HRSA-Funded Health Center
340B ID
CH09009B
Entity Address
2221 E Frontage Rd, Bldg G & F STE 101, 104,
Tubac, AZ 85646
Grant Number
H80CS00752
Participating Start Date
10/1/2018
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
ARIZONA CVS STORES, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 09254
240 W CONTINENTAL RD
GREEN VALLEY, AZ 85622
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
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/10/2023
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