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AZ PHARMACY, LLC
CH09321R Camarena Health
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Covered Entity Details
Entity Name
Camarena Health
Subdivision Name
Camarena Health--I Street
Type
HRSA-Funded Health Center
340B ID
CH09321R
Entity Address
509 S I St Ste C
Madera, CA 93637-4660
Grant Number
H80CS00143
Participating Start Date
4/1/2020
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
AZ PHARMACY, LLC
Pharmacy Address
DBA AMAZON PHARMACY #002
3809 E WATKINS ST
PHOENIX, AZ 85034
Pharmacy Comments
Contract Details
Approval Date
10/16/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Paulo A. Soares, CEO
(559) 664-4089
Contract Pharmacy Representative
PILLPACK, INC.
GEOFF SWINDLE, CHIEF BUSINESS OFFICER
(855) 745-5725
Signed By Date
10/16/2023
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