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WAL-MART PHARMACY 10-0776
CH078030 EAST CENTRAL DISTRICT HEALTH DEPARTMENT
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Covered Entity Details
Entity Name
EAST CENTRAL DISTRICT HEALTH DEPARTMENT
Subdivision Name
East Central District Health Department/Good Neighbor Community Health Center
Type
HRSA-Funded Health Center
340B ID
CH078030
Entity Address
4321 41st Ave
COLUMBUS, NE 68601-2131
Grant Number
H80CS00862
Participating Start Date
4/1/2004
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0776
Pharmacy Address
3010 EAST 23RD AVENUE NORTH
FREMONT, NE 68025
Pharmacy Comments
Contract Details
Approval Date
10/15/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Beth M Wewel, Cfo
(402) 562-8951
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
10/15/2019
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