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WALMART PHARMACY 10-5987
CH060820 Community Health Service Agency, Inc. Of Hunt County, The
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Covered Entity Details
Entity Name
Community Health Service Agency, Inc. Of Hunt County, The
Subdivision Name
Carevide
Type
HRSA-Funded Health Center
340B ID
CH060820
Entity Address
4500 Wesley St
Greenville, TX 75401-5644
Grant Number
H80CS00675
Participating Start Date
12/1/1992
Last Recertification Date
3/3/2025
Pharmacy Details
Pharmacy Name
WALMART PHARMACY 10-5987
Pharmacy Address
494 W INTERSTATE 30
ROYSE CITY, TX 75189
Pharmacy Comments
Contract Details
Approval Date
1/14/2019
Contract Begin Date
4/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/10/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Michelle Carter, CEO
(903) 455-5986
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
1/14/2019
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