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ARIZONA CVS STORES, L.L.C.
CH09016A EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER
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Covered Entity Details
Entity Name
EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER
Subdivision Name
EL RIO SOUTHWEST MEDICAL
Type
HRSA-Funded Health Center
340B ID
CH09016A
Entity Address
1500 W COMMERCE CT
TUCSON, AZ 85746
Grant Number
H80CS00230
Participating Start Date
10/1/1995
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
ARIZONA CVS STORES, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 09374
1900 W. VALENCIA RD.
TUCSON, AZ 85746
Pharmacy Comments
Contract Details
Approval Date
10/11/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Clinton Kuntz, CEO
(520) 670-3909
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/11/2023
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