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NPS PHARMACY AZ01
STD85719 Southern Arizona AIDS Foundation
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Covered Entity Details
Entity Name
Southern Arizona AIDS Foundation
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD85719
Entity Address
375 S Euclid
Tucson, AZ 85719
Grant Number
NU62PS924675-01-00
Participating Start Date
1/1/2022
Last Recertification Date
5/21/2025
Pharmacy Details
Pharmacy Name
NPS PHARMACY AZ01
Pharmacy Address
NASHVILLE PHARMACY SERVICES, LLC
375 S EUCLID AVE
TUCSON, AZ 85719
Pharmacy Comments
Contract Details
Approval Date
12/11/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Beth A Frantz, CEO
(520) 547-6069
Contract Pharmacy Representative
NPS
John Winnett, CSP
(615) 831-2291 Ext: 301
Signed By Date
12/11/2024
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