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BASHAS' #55
CH093030 ADELANTE HEALTHCARE, INC.
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Covered Entity Details
Entity Name
ADELANTE HEALTHCARE, INC.
Subdivision Name
Adelante Healthcare
Type
HRSA-Funded Health Center
340B ID
CH093030
Entity Address
3033 N. Central Ave.
Phoenix, AZ 85012-4403
Grant Number
H80CS00140
Participating Start Date
12/1/1992
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
BASHAS' #55
Pharmacy Address
RALEY'S ARIZONA LLC
275 N TEGNER ST
STE 17
WICKENBURG, AZ 85390
Pharmacy Comments
Contract Details
Approval Date
4/16/2025
Contract Begin Date
4/16/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Pedro Cons, CEO
(623) 583-3001 Ext: 011105
Contract Pharmacy Representative
Raley's
Cindy Fong, Director of Pharmacy
(916) 373-6411
Signed By Date
4/16/2025
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