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WAL-MART PHARMACY 10-5997
CH013970 RICHFORD HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
RICHFORD HEALTH CENTER, INC.
Subdivision Name
Richford Health Center
Type
HRSA-Funded Health Center
340B ID
CH013970
Entity Address
44 Main Street
Richford, VT 05476-1153
Grant Number
H80CS00261
Participating Start Date
1/1/2003
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-5997
Pharmacy Address
9600 PARKSOUTH CT. SUITE 100
ORLANDO, FL 32837
Pharmacy Comments
Contract Details
Approval Date
7/24/2017
Contract Begin Date
10/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
PAMELA PARSONS, CEO
(802) 255-5561 Ext: 561
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
7/24/2017
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