340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
AVELLA OF DEER VALLEY
FQHCLA225B Maricopa County Special Health Care District
Print
Covered Entity Details
Entity Name
Maricopa County Special Health Care District
Subdivision Name
GLENDALE FAMILY HEALTH CENTER
Type
Health Center Program Look-Alike
340B ID
FQHCLA225B
Entity Address
5141 W. LAMAR
GLENDALE, AZ 85301
Grant Number
LALCS00037
Participating Start Date
10/1/2007
Last Recertification Date
2/14/2019
Entity Termination Date
4/1/2020
Pharmacy Details
Pharmacy Name
AVELLA OF DEER VALLEY
Pharmacy Address
23620 N 20TH DR #12
PHOENIX, AZ 85085-0621
Pharmacy Comments
Contract Details
Approval Date
7/15/2016
Contract Begin Date
10/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2020
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Kathleen Rhodes, Interim Vice President Ambulatory and Physician Services
(602) 344-5558
Contract Pharmacy Representative
Avella
Nancy McCutcheon, Senior Vice President, Strategic Services
(651) 983-0677
Signed By Date
7/15/2016
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session