Contract Pharmacy Details

BASHAS' #52
CH090080 MARANA HEALTH CENTER, INC.

Covered Entity Details

Entity Name

MARANA HEALTH CENTER, INC.

Subdivision Name

Marana Health Center, Inc.

Type

HRSA-Funded Health Center

340B ID

CH090080

Entity Address

13395 N. Marana Main Street
MARANA, AZ 85653

Grant Number

H80CS00231

Participating Start Date

7/1/1999

Last Recertification Date

2/10/2025

Pharmacy Details

Pharmacy Name

BASHAS' #52

Pharmacy Address

RALEY'S ARIZONA LLC
15310 N. ORACLE RD
TUCSON, AZ 85739

Pharmacy Comments

Contract Details

Approval Date

4/9/2024

Contract Begin Date

7/1/2024

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Heidi Kurgat, Director of Compliance and Risk
(573) 578-1344

Contract Pharmacy Representative

Bashas Pharmacy
Rajdeep Bhanver, Director of Pharmacy
(916) 291-7741

Signed By Date

4/9/2024

340B Drug Pricing Program Database