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WAL-MART PHARMACY 10-2149
TB43050 KNOX COUNTY HEALTH DEPARTMENT
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Covered Entity Details
Entity Name
KNOX COUNTY HEALTH DEPARTMENT
Subdivision Name
Type
Tuberculosis
340B ID
TB43050
Entity Address
11660 UPPER GILCHRIST RD
MOUNT VERNON, OH 43050
Grant Number
6 NU52PS910184
Participating Start Date
1/1/2005
Last Recertification Date
5/8/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-2149
Pharmacy Address
1575 COSHOCTON AVE
MT VERNON, OH 43050
Pharmacy Comments
Contract Details
Approval Date
7/2/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Lane K Belangia, CEO
(740) 392-2222 Ext: 2275
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
7/2/2019
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