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WALGREENS SPECIALTY PHARMACY, LLC
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
WALGREENS SPECIALTY PHARMACY, LLC
Pharmacy Address
DBA WALGREENS SPECIALTY PHARMACY #16287
130 ENTERPRISE DR
PITTSBURGH, PA 15275
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
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/13/2023
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