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CAREMARK TENNESSEE SPECIALTY PHARMACY, L
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
CAREMARK TENNESSEE SPECIALTY PHARMACY, L
Pharmacy Address
DBA CVS/SPECIALTY OR CARELONRX SPECIALTY
8370 WOLF LAKE DR
STE 107
BARTLETT, TN 38133
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
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/13/2023
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