Contract Pharmacy Details

BASHAS UNITED DRUG #85
CH093030 ADELANTE HEALTHCARE, INC.

Covered Entity Details

Entity Name

ADELANTE HEALTHCARE, INC.

Subdivision Name

Adelante Healthcare

Type

HRSA-Funded Health Center

340B ID

CH093030

Entity Address

3033 N. Central Ave.
Phoenix, AZ 85012-4403

Grant Number

H80CS00140

Participating Start Date

12/1/1992

Last Recertification Date

2/12/2025

Pharmacy Details

Pharmacy Name

BASHAS UNITED DRUG #85

Pharmacy Address

1920 WEST CHANDLER BLVD
CHANDLER, AZ 85224

Pharmacy Comments

Contract Details

Approval Date

4/7/2015

Contract Begin Date

7/1/2015

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

10/19/2018
Pharmacy closed

Contacts

Covered Entity Signing Official

Richard Miller, CFO
(623) 583-3001

Contract Pharmacy Representative

Signed By Date

4/7/2015

340B Drug Pricing Program Database