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BEEWELL PHARMACY
CH09287X CHIRICAHUA COMMUNITY HEALTH CENTERS INC
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Covered Entity Details
Entity Name
CHIRICAHUA COMMUNITY HEALTH CENTERS INC
Subdivision Name
Medical Mobile Clinic- 'Hank'
Type
HRSA-Funded Health Center
340B ID
CH09287X
Entity Address
815 E 15th St
Douglas, AZ 85607-1631
Grant Number
H80CS00696
Participating Start Date
4/1/2022
Last Recertification Date
3/3/2025
Pharmacy Details
Pharmacy Name
BEEWELL PHARMACY
Pharmacy Address
EJBRX, LLC
3518 CANYON DE FLORES STE B
SIERRA VISTA, AZ 85650-5361
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
Jonathan Melk, CEO
(520) 227-9167
Contract Pharmacy Representative
BeeWell Pharmacy
Janet Buchner, Owner
(520) 895-3233
Signed By Date
10/16/2023
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