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WAL-MART PHARMACY 10-1392
CH045240 NEW HANOVER COMMUNITY HEALTH CENTER INC
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Covered Entity Details
Entity Name
NEW HANOVER COMMUNITY HEALTH CENTER INC
Subdivision Name
MedNorth Health Center
Type
HRSA-Funded Health Center
340B ID
CH045240
Entity Address
925 N 4th St
Wilmington, NC 28401-3450
Grant Number
H80CS00572
Participating Start Date
12/1/1992
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1392
Pharmacy Address
5226 SIGMON ROAD
WILMINGTON, NC 28403
Pharmacy Comments
Contract Details
Approval Date
7/16/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Althea Johnson, CEO
(910) 202-8623
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
7/16/2018
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