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WAL-MART PHARMACY 10-5315
CH030790 COMMUNITY HEALTH SYSTEMS, INC.
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Covered Entity Details
Entity Name
COMMUNITY HEALTH SYSTEMS, INC.
Subdivision Name
AccessHealth Rural Acres Clinic
Type
HRSA-Funded Health Center
340B ID
CH030790
Entity Address
252 Rural Acres Drive
Beckley, WV 25801-3503
Grant Number
H80CS00345
Participating Start Date
7/1/2000
Last Recertification Date
2/23/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-5315
Pharmacy Address
2354 COMMERCE PARK DR.
ORLANDO, FL 32819
Pharmacy Comments
Contract Details
Approval Date
7/6/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/4/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
CHARLES HUNT, CEO
(304) 252-8551 Ext: 1164
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
7/6/2018
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