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ARIZONA CVS STORES, L.L.C.
CH09013P Sunset Community Health Center
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Covered Entity Details
Entity Name
Sunset Community Health Center
Subdivision Name
Sunset North Yuma Building B Clinic
Type
HRSA-Funded Health Center
340B ID
CH09013P
Entity Address
675 S Avenue B Bldg B
Yuma, AZ 85364-2749
Grant Number
H80CS04321
Participating Start Date
10/1/2021
Last Recertification Date
2/17/2025
Pharmacy Details
Pharmacy Name
ARIZONA CVS STORES, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 09278
1555 S AVENUE B
YUMA, AZ 85364
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
DAVID D ROGERS, CEO
(928) 819-8802
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/13/2023
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