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WELLS PHARMACY
CHC31240-00 FIRST PERSON CARE CLINIC
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Covered Entity Details
Entity Name
FIRST PERSON CARE CLINIC
Subdivision Name
First Person Care Clinic
Type
HRSA-Funded Health Center
340B ID
CHC31240-00
Entity Address
1200 S 4TH ST
111
LAS VEGAS, NV 89104-1046
Grant Number
H80CS31240
Participating Start Date
4/1/2018
Last Recertification Date
2/25/2025
Pharmacy Details
Pharmacy Name
WELLS PHARMACY
Pharmacy Address
247 N LITCHFIELD RD
GOODYEAR, AZ 85338-1227
Pharmacy Comments
Contract Details
Approval Date
7/15/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Diego Martinez, CEO
(305) 992-5149
Contract Pharmacy Representative
Trinity Care
Sanjay Veerkar, Program Manager
(702) 776-8210
Signed By Date
7/15/2024
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