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AVELLA OF SCOTTSDALE
FQHCLA225J Maricopa County Special Health Care District
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Covered Entity Details
Entity Name
Maricopa County Special Health Care District
Subdivision Name
7th Avenue Walk In Clinic
Type
Health Center Program Look-Alike
340B ID
FQHCLA225J
Entity Address
1201 S. 7th Avenue
Phoenix, AZ 85007
Grant Number
LALCS00037
Participating Start Date
4/1/2012
Last Recertification Date
2/14/2019
Entity Termination Date
10/1/2019
Pharmacy Details
Pharmacy Name
AVELLA OF SCOTTSDALE
Pharmacy Address
9777 N 91ST ST #C102
SCOTTSDALE, AZ 85258
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
10/1/2019
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
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