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AVELLA OF DEER VALLEY, INC. #38
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
AVELLA OF DEER VALLEY, INC. #38
Pharmacy Address
DBA AVELLA SPECIALTY PHARMACY
24416 N. 19TH AVE
PHOENIX, AZ 85085
Pharmacy Comments
Contract Details
Approval Date
1/17/2017
Contract Begin Date
4/1/2017
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
Avella
Nancy McCutcheon, Senior Vice President, Strategic Services
(651) 983-0677
Signed By Date
1/17/2017
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