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WALGREEN ARIZONA DRUG CO.
CH09016AD 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 NORTHWEST DENTAL
Type
HRSA-Funded Health Center
340B ID
CH09016AD
Entity Address
340 W Prince Rd
TUCSON, AZ 85705-6168
Grant Number
H80CS00230
Participating Start Date
7/1/2008
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WALGREEN ARIZONA DRUG CO.
Pharmacy Address
DBA: WALGREENS # 05892
3910 E 22ND STREET
TUCSON, AZ 85711
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
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/11/2023
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