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WAL-MART PHARMACY 10-0488
CHC26803-00 Neighborhood Medical Center Inc.
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Covered Entity Details
Entity Name
Neighborhood Medical Center Inc.
Subdivision Name
Neighborhood Medical Center Lincoln Center
Type
HRSA-Funded Health Center
340B ID
CHC26803-00
Entity Address
438 W BREVARD ST
TALLAHASSEE, FL 32301-1004
Grant Number
H80CS26803
Participating Start Date
7/1/2014
Last Recertification Date
3/7/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0488
Pharmacy Address
1940 PAT THOMAS PARKWAY
QUINCY, FL 32351
Pharmacy Comments
Contract Details
Approval Date
7/17/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/22/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Jeanne S Freeman, CEO
(850) 577-1558
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
7/17/2018
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