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WAL-MART PHARMACY 10-1954
CH019970 York County Community Action Corporation
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Covered Entity Details
Entity Name
York County Community Action Corporation
Subdivision Name
YORK COUNTY COMMUNITY HEALTH CARE NAP
Type
HRSA-Funded Health Center
340B ID
CH019970
Entity Address
15 Oak St
Springvale, ME 04083-1926
Grant Number
H80CS04191
Participating Start Date
10/1/2021
Last Recertification Date
3/4/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1954
Pharmacy Address
1930 MAIN STREET
SANFORD, ME 04073
Pharmacy Comments
Contract Details
Approval Date
10/15/2018
Contract Begin Date
1/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2020
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Barbara Crider, Executive Director
(207) 324-5762
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
10/15/2018
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