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WAL-MART PHARMACY 10-0433
CHC33642-01 AIDS Action Coalition of Huntsville
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Covered Entity Details
Entity Name
AIDS Action Coalition of Huntsville
Subdivision Name
Thrive Alabama
Type
HRSA-Funded Health Center
340B ID
CHC33642-01
Entity Address
600 St. Clair Avenue, Building 7, Suite 18
Huntsville, AL 35801
Grant Number
H80CS33642
Participating Start Date
1/1/2020
Last Recertification Date
2/7/2022
Entity Termination Date
1/1/2023
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0433
Pharmacy Address
2200 SPARKMAN DR
HUNTSVILLE, AL 35810
Pharmacy Comments
Contract Details
Approval Date
11/22/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2023
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Mary Elizabeth Marr, CEO
(256) 337-8283
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
11/22/2019
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