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WAL-MART CENTRAL FILL 10-2670
CHC32521-10 COMMUNITY HEALTH CARE CENTER, INCORPORATED
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Covered Entity Details
Entity Name
COMMUNITY HEALTH CARE CENTER, INCORPORATED
Subdivision Name
Community Health Care Center Inc
Type
HRSA-Funded Health Center
340B ID
CHC32521-10
Entity Address
601 1st Ave N
Great Falls, MT 59401-2510
Grant Number
H80CS32521
Participating Start Date
7/1/2019
Last Recertification Date
2/21/2025
Pharmacy Details
Pharmacy Name
WAL-MART CENTRAL FILL 10-2670
Pharmacy Address
608 SPRING HILL DR # 3 SUITE 300
SPRING, TX 77386
Pharmacy Comments
Contract Details
Approval Date
10/11/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Trista Besich, Chief Executive Officer
(406) 761-9887
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
10/11/2019
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