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WAL-MART PHARMACY 10-2568
CH09532B VALLEY COMMUNITY HEALTHCARE
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Covered Entity Details
Entity Name
VALLEY COMMUNITY HEALTHCARE
Subdivision Name
NORTH HILLS WELLNESS CENTER
Type
HRSA-Funded Health Center
340B ID
CH09532B
Entity Address
9119 Haskell Ave
North Hills, CA 91343-3114
Grant Number
H80CS04222
Participating Start Date
7/1/2015
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-2568
Pharmacy Address
8333 VAN NUYS BLVD
PANORAMA CITY, CA 91402
Pharmacy Comments
Contract Details
Approval Date
1/15/2019
Contract Begin Date
4/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Paula Wilson, CEO
(818) 301-6333
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
1/15/2019
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