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JTJ MEDICAL SUPPLY, INC
FQHC638292 GILA RIVER HEALTH CARE CORPORATION
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Covered Entity Details
Entity Name
GILA RIVER HEALTH CARE CORPORATION
Subdivision Name
HU HU KAM MEMORIAL HOSPITAL
Type
Tribal Contract/Compact with IHS (P.L. 93-638)
340B ID
FQHC638292
Entity Address
483 W SEED FARM ROAD
SACATON, AZ 85147
Grant Number
Participating Start Date
10/1/2007
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
JTJ MEDICAL SUPPLY, INC
Pharmacy Address
DBA MAIL MEDS CLINICAL PHARMACY
2692 OAK RIDGE CT
FORT MYERS, FL 33901
Pharmacy Comments
Contract Details
Approval Date
1/14/2015
Contract Begin Date
4/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Ginger Fligger, CEO
(602) 528-1470
Contract Pharmacy Representative
JTJ Medical Supply, Inc.
Mark J. Theobald, Owner
(800) 939-2022 Ext: 111
Signed By Date
1/14/2015
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