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I H S PHARMACY
FQHC638608 Tonto Apache Healthcare Corporation
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Covered Entity Details
Entity Name
Tonto Apache Healthcare Corporation
Subdivision Name
Type
Tribal Contract/Compact with IHS (P.L. 93-638)
340B ID
FQHC638608
Entity Address
30 Tonto Apache Reservation
Payson, AZ 85541
Grant Number
Participating Start Date
7/1/2023
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
I H S PHARMACY
Pharmacy Address
584 MCCURDY AVE S STE 1
RAINSVILLE, AL 35986
Pharmacy Comments
Contract Details
Approval Date
4/15/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Calvin Johnson, Chairman
(928) 474-5000 Ext: 8126
Contract Pharmacy Representative
Independent Health Services
Myra Sanderson, VP & General Counsel
(800) 638-3104
Signed By Date
4/15/2025
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