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WALGREEN ARIZONA DRUG CO.
CH09008S MARANA HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
MARANA HEALTH CENTER, INC.
Subdivision Name
East Side Health Center
Type
HRSA-Funded Health Center
340B ID
CH09008S
Entity Address
8181 E Irvington Rd
Tucson, AZ 85709-4001
Grant Number
H80CS00231
Participating Start Date
1/1/2014
Last Recertification Date
1/31/2024
Entity Termination Date
10/1/2024
Pharmacy Details
Pharmacy Name
WALGREEN ARIZONA DRUG CO.
Pharmacy Address
DBA: WALGREENS # 03463
1415 W RIVER RD
TUCSON, AZ 85704
Pharmacy Comments
Contract Details
Approval Date
10/13/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2024
Covered Entity Terminated
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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