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SMITH'S FOOD DRUG CENTERS
CH09303C ADELANTE HEALTHCARE, INC.
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Covered Entity Details
Entity Name
ADELANTE HEALTHCARE, INC.
Subdivision Name
Adelante Healthcare Buckeye
Type
HRSA-Funded Health Center
340B ID
CH09303C
Entity Address
306 E. MONROE
BUCKEYE, AZ 85326-2706
Grant Number
H80CS00140
Participating Start Date
7/1/1998
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
SMITH'S FOOD DRUG CENTERS
Pharmacy Address
DBA FRYS FOOD AND DRUG #675
1300 S WATSON ROAD
BUCKEYE, AZ 85326
Pharmacy Comments
Contract Details
Approval Date
8/9/2011
Contract Begin Date
8/9/2011
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/29/2017
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
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