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WAL-MART PHARMACY 10-4456
CH021280 CAMCARE HEALTH CORPORATION
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Covered Entity Details
Entity Name
CAMCARE HEALTH CORPORATION
Subdivision Name
Type
HRSA-Funded Health Center
340B ID
CH021280
Entity Address
817 FEDERAL STREET
CAMDEN, NJ 08103
Grant Number
H80CS00172
Participating Start Date
1/1/2002
Last Recertification Date
3/7/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-4456
Pharmacy Address
1 COOPERTOWN BLVD
SOMERDALE, NJ 08083
Pharmacy Comments
Contract Details
Approval Date
1/13/2017
Contract Begin Date
4/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Nicholas J. Kellmayer, CFO
(856) 541-3270
Contract Pharmacy Representative
Wal-Mart
Marcus Osbourne, VP of Health and Wellness Transformation
(479) 204-9374
Signed By Date
1/13/2017
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