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WAL-MART PHARMACY 10-5402
CH051750 ACCESS COMMUNITY HEALTH NETWORK
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Covered Entity Details
Entity Name
ACCESS COMMUNITY HEALTH NETWORK
Subdivision Name
ADMINISTRATIVE OFFICES
Type
HRSA-Funded Health Center
340B ID
CH051750
Entity Address
600 W Fulton
STE 300
CHICAGO, IL 60661
Grant Number
H80CS00834
Participating Start Date
7/1/2004
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-5402
Pharmacy Address
4650 WEST NORTH AVE
CHICAGO, IL 60639
Pharmacy Comments
Contract Details
Approval Date
1/21/2019
Contract Begin Date
4/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
DONNA THOMPSON, CEO
(312) 526-2051
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
1/21/2019
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