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WALMART PHARMACY 10-3639
CHC12862-00 Loudoun Community Health Center
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Covered Entity Details
Entity Name
Loudoun Community Health Center
Subdivision Name
Loudoun Community Health Center dba HealthWorks for Northern Virginia
Type
HRSA-Funded Health Center
340B ID
CHC12862-00
Entity Address
163 Fort Evans Rd NE
Leesburg, VA 20176
Grant Number
H80CS12862
Participating Start Date
1/1/2009
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
WALMART PHARMACY 10-3639
Pharmacy Address
24635 DULLES LANDING DRIVE
STERLING, VA 20166
Pharmacy Comments
Contract Details
Approval Date
4/15/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Carol Jameson, CEO
(703) 840-4704
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
4/15/2019
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