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WALMART PHARMACY 10-2439
CH0621770 CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT #1
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Covered Entity Details
Entity Name
CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT #1
Subdivision Name
BAYSIDE COMMUNITY HOSPITAL
Type
HRSA-Funded Health Center
340B ID
CH0621770
Entity Address
200 HOSPITAL DRIVE
ANAHUAC, TX 77514
Grant Number
H80CS08788
Participating Start Date
9/1/2008
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
WALMART PHARMACY 10-2439
Pharmacy Address
8700 NORTH HIGHWAY 146
BAYTOWN, TX 77523
Pharmacy Comments
Contract Details
Approval Date
1/14/2019
Contract Begin Date
4/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
STEVEN GULARTE, CEO
(409) 267-3143
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
1/14/2019
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