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WAL-MART PHARMACY 10-3206
CH05096K COMMUNITY & RURAL HEALTH SERVICES
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Covered Entity Details
Entity Name
COMMUNITY & RURAL HEALTH SERVICES
Subdivision Name
COMMUNITY HEALTH SERVICES - LIMA
Type
HRSA-Funded Health Center
340B ID
CH05096K
Entity Address
1005 Bellefontaine Avenue, Suite 300
Lima, OH 45804
Grant Number
H80CS00661
Participating Start Date
1/1/2017
Last Recertification Date
2/1/2023
Entity Termination Date
4/1/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-3206
Pharmacy Address
2400 HARDING HIGHWAY
LIMA, OH 45804
Pharmacy Comments
Contract Details
Approval Date
7/11/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
JOSEPH LISZAK, CEO
(419) 334-8943 Ext: 225
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
7/11/2018
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