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ARIZONA CVS STORES, L.L.C.
CH09008H MARANA HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
MARANA HEALTH CENTER, INC.
Subdivision Name
Ortiz Community Health Center
Type
HRSA-Funded Health Center
340B ID
CH09008H
Entity Address
12635 W. RUDASILL ROAD
TUCSON, AZ 85743
Grant Number
H80CS00231
Participating Start Date
7/1/2004
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
ARIZONA CVS STORES, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 09336
7901 E. GOLF LINKS ROAD
TUCSON, AZ 85730
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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