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WAL-MART PHARMACY 10-2205
CH031160 FAMILY FIRST HEALTH CORPORATION
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Covered Entity Details
Entity Name
FAMILY FIRST HEALTH CORPORATION
Subdivision Name
FAMILY FIRST HEALTH CORPORATION
Type
HRSA-Funded Health Center
340B ID
CH031160
Entity Address
116 S George St
York, PA 17401-1474
Grant Number
H80CS00529
Participating Start Date
7/1/2004
Last Recertification Date
2/21/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-2205
Pharmacy Address
1000 TOWN CENTER DRIVE
YORK, PA 17408
Pharmacy Comments
Contract Details
Approval Date
4/15/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Jennifer Englerth, CEO
(717) 801-4804
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
4/15/2019
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