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WAL-MART PHARMACY 10-2399
CH010760B Amoskeag Health
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Covered Entity Details
Entity Name
Amoskeag Health
Subdivision Name
Amoskeag Health at 1245 Elm Street
Type
HRSA-Funded Health Center
340B ID
CH010760B
Entity Address
1245 ELM ST
MANCHESTER, NH 03101-1308
Grant Number
H80CS00571
Participating Start Date
4/1/2015
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-2399
Pharmacy Address
725 GOLD STREET
MANCHESTER, NH 03103
Pharmacy Comments
Contract Details
Approval Date
10/4/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kris McCracken, President/CEO
(603) 935-5210
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
10/4/2019
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