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WAL-MART PHARMACY 10-0785
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 10-0785
Pharmacy Address
1350 AZALEA DR
WAYNESBORO, MS 39367
Pharmacy Comments
Contract Details
Approval Date
4/14/2016
Contract Begin Date
7/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2018
Covered Entity Terminated
Contacts
Covered Entity Signing Official
ANGEL GREER, CEO
(228) 374-2494 Ext: 1133
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
4/14/2016
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