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SMITHS FOOD & DRUG CENTERS
CHC26604-00 NEIGHBORHOOD OUTREACH ACCESS TO HEALTH
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Covered Entity Details
Entity Name
NEIGHBORHOOD OUTREACH ACCESS TO HEALTH
Subdivision Name
Heuser Family Health Center
Type
HRSA-Funded Health Center
340B ID
CHC26604-00
Entity Address
7301 E 2nd Street # 210
Scottsdale, AZ 85251
Grant Number
H80CS26604
Participating Start Date
7/1/2014
Last Recertification Date
2/2/2023
Entity Termination Date
7/1/2023
Pharmacy Details
Pharmacy Name
SMITHS FOOD & DRUG CENTERS
Pharmacy Address
DBA FRY'S FOOD & DRUG 609
850 E. HATCHER ROAD
PHOENIX, AZ 85020
Pharmacy Comments
Contract Details
Approval Date
4/15/2016
Contract Begin Date
7/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/17/2018
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Wendy Armendariz, Executive Director
(480) 882-6073
Contract Pharmacy Representative
Kroger
Mike Puccini, New Business Development Manager
(513) 762-4672
Signed By Date
4/15/2016
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