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MELROSE PHARMACY
STD850132 FIT Health Care Clinic
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Covered Entity Details
Entity Name
FIT Health Care Clinic
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD850132
Entity Address
300 W. CLARENDON AVENUE
145
Phoenix, AZ 85013
Grant Number
NU51PS005142
Participating Start Date
4/1/2024
Last Recertification Date
5/16/2025
Pharmacy Details
Pharmacy Name
MELROSE PHARMACY
Pharmacy Address
706 W. MONTECITO AVE
PHOENIX, AZ 85013
Pharmacy Comments
Contract Details
Approval Date
10/10/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kandi Kirsten Gamerdinger, member
(602) 279-5049
Contract Pharmacy Representative
Melrose Pharmacy
Teresa Stickler, Owner/Rph
(602) 277-4714
Signed By Date
10/10/2024
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