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WAL-MART PHARMACY 10-1974
CH013470 SAINT CROIX REGIONAL FAMILY HEALTH CENTER
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Covered Entity Details
Entity Name
SAINT CROIX REGIONAL FAMILY HEALTH CENTER
Subdivision Name
ST. CROIX REGIONAL FAMILY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH013470
Entity Address
136 Mill St
Princeton, ME 04668-3344
Grant Number
H80CS00526
Participating Start Date
7/1/2001
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1974
Pharmacy Address
17 LUDLOW ROAD
HOULTON, ME 04730
Pharmacy Comments
Contract Details
Approval Date
7/24/2017
Contract Begin Date
10/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/27/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Corinne A. LaPlant, CEO
(207) 796-5503
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
7/24/2017
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