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GERMAN DOBSON CVS, L.L.C.
CHC26606-00 HORIZON HEALTH & WELLNESS INC
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Covered Entity Details
Entity Name
HORIZON HEALTH & WELLNESS INC
Subdivision Name
Apache Junction
Type
HRSA-Funded Health Center
340B ID
CHC26606-00
Entity Address
625 N Plaza Dr
Apache Junction, AZ 85120-5501
Grant Number
H80CS26606
Participating Start Date
10/1/2023
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
GERMAN DOBSON CVS, L.L.C.
Pharmacy Address
DBA CVS/PHARMACY #11144
100 NORTH BROAD ST.
GLOBE, AZ 85501
Pharmacy Comments
Contract Details
Approval Date
4/14/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ben Baxter, CFO
(480) 474-5619
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/14/2024
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