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AVELLA OF DEER VALLEY, INC. #38
CHC26586-00 Bee Busy Wellness Center
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Covered Entity Details
Entity Name
Bee Busy Wellness Center
Subdivision Name
Bee Busy Wellness Center
Type
HRSA-Funded Health Center
340B ID
CHC26586-00
Entity Address
8785 W Bellfort ST
Houston, TX 77031-2403
Grant Number
H80CS26586
Participating Start Date
7/1/2014
Last Recertification Date
2/11/2025
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
1/12/2018
Contract Begin Date
4/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/11/2018
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Norman Mitchell, CEO
(713) 771-2292
Contract Pharmacy Representative
Avella
Nancy McCutcheon, Senior Vice President, Strategic Services
(651) 983-0677
Signed By Date
1/12/2018
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