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ARIZONA CVS STORES, L.L.C.
CH09008AA Marana Health Center, Inc.
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Covered Entity Details
Entity Name
Marana Health Center, Inc.
Subdivision Name
MHC Integrated Care
Type
HRSA-Funded Health Center
340B ID
CH09008AA
Entity Address
2325 N Wyatt Dr
Tucson, AZ 85712-2121
Grant Number
H80CS00231
Participating Start Date
10/1/2019
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
ARIZONA CVS STORES, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 09273
3785 WEST INA RD.
TUCSON, AZ 85741
Pharmacy Comments
Contract Details
Approval Date
10/13/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Tamie Olson, Chief Financial Officer
(520) 682-4111 Ext: 6221
Contract Pharmacy Representative
WellPartner, A CVS Health Company
Derek Sterns, National Sales Representative
(503) 317-9840
Signed By Date
10/13/2023
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