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GENOA A QOL HEALTHCARE COMPANY LLC
CH093030 ADELANTE HEALTHCARE, INC.
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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
GENOA A QOL HEALTHCARE COMPANY LLC
Pharmacy Address
15317 W BELL RD
SUITE 106
SURPRISE, AZ 85374-3877
Pharmacy Comments
Contract Details
Approval Date
7/7/2015
Contract Begin Date
10/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/14/2017
Pharmacy closed
Contacts
Covered Entity Signing Official
Richard Miller, CFO
(623) 583-3001
Contract Pharmacy Representative
Kayla Richardson, Contracts Administrator
(623) 255-3965
Signed By Date
7/7/2015
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