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GERMAN DOBSON CVS, L.L.C.
CHC28956-07 Valle Del Sol, Inc.
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Covered Entity Details
Entity Name
Valle Del Sol, Inc.
Subdivision Name
Valle del Sol_4135
Type
HRSA-Funded Health Center
340B ID
CHC28956-07
Entity Address
4135 S Power Rd
Ste 108
Mesa, AZ 85212
Grant Number
H80CS28956
Participating Start Date
1/1/2022
Last Recertification Date
2/17/2025
Pharmacy Details
Pharmacy Name
GERMAN DOBSON CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 00033
1750 E BROADWAY RD
TEMPE, AZ 85282
Pharmacy Comments
Contract Details
Approval Date
4/4/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Mike Renaud, President & Chief Executive Officer
(602) 258-6797 Ext: 1320
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/4/2024
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