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AZ PHARMACY, LLC
CH09008A MARANA HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
MARANA HEALTH CENTER, INC.
Subdivision Name
SANTA CATALINA HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH09008A
Entity Address
16701 N ORACLE RD
TUCSON, AZ 85739
Grant Number
H80CS00231
Participating Start Date
7/1/2002
Last Recertification Date
2/10/2025
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
7/13/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Heidi Kurgat, Director of Compliance and Risk
(573) 578-1344
Contract Pharmacy Representative
MHC Health Care
Greg Redding, Pharmacy Director
(520) 682-4111
Signed By Date
7/13/2024
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