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WALGREEN ARIZONA DRUG CO.
CH093070 MOUNTAIN PARK HEALTH CENTER
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Covered Entity Details
Entity Name
MOUNTAIN PARK HEALTH CENTER
Subdivision Name
Mountain Park Health Center - Baseline
Type
HRSA-Funded Health Center
340B ID
CH093070
Entity Address
635 E Baseline Rd
Phoenix, AZ 85042-6551
Grant Number
H80CS00141
Participating Start Date
10/1/1996
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
WALGREEN ARIZONA DRUG CO.
Pharmacy Address
DBA: WALGREENS # 11182
1130 W. SOUTHERN AVE
MESA, AZ 85210
Pharmacy Comments
Contract Details
Approval Date
6/11/2012
Contract Begin Date
6/11/2012
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
John R. Swagert, CEO
(602) 323-3470
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
6/11/2012
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