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WAL-MART PHARMACY 10-1260
CH044470 GREENE AREA MEDICAL EXTENDERS, INC.
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Covered Entity Details
Entity Name
GREENE AREA MEDICAL EXTENDERS, INC.
Subdivision Name
LEAKESVILLE MEDICAL CENTER
Type
HRSA-Funded Health Center
340B ID
CH044470
Entity Address
1616 WILLIAMS DRIVE
LEAKESVILLE, MS 39451
Grant Number
H80CS00819
Participating Start Date
10/1/2001
Last Recertification Date
1/25/2017
Entity Termination Date
1/1/2018
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1260
Pharmacy Address
11228 HIGHWAY 63 SOUTH
LUCEDALE, MS 39452
Pharmacy Comments
Contract Details
Approval Date
10/14/2015
Contract Begin Date
1/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2018
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Angel Greer, Executive Director
(228) 374-2424
Contract Pharmacy Representative
Wal-Mart
Marcus Osbourne, VP of Health and Wellness Transformation
(479) 204-9374
Signed By Date
10/14/2015
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