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WAL-MART PHARMACY 10-2358
CH05198A ALCONA CITIZENS FOR HEALTH, INC.
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Covered Entity Details
Entity Name
ALCONA CITIZENS FOR HEALTH, INC.
Subdivision Name
Alcona Health Centers - Harrisville Services
Type
HRSA-Funded Health Center
340B ID
CH05198A
Entity Address
205 N. State St. STE A
Harrisville, MI 48740
Grant Number
H80CS00679
Participating Start Date
1/1/2002
Last Recertification Date
2/23/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-2358
Pharmacy Address
1180 M-32 WEST
ALPENA, MI 49707
Pharmacy Comments
Contract Details
Approval Date
11/20/2012
Contract Begin Date
1/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/8/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Christine M. Baumgardner, CEO
(989) 736-9868
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
10/9/2012
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