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WAL-MART PHARMACY 10-1783
CH05849F ECHO COMMUNITY HEALTH CARE, INC.
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Covered Entity Details
Entity Name
ECHO COMMUNITY HEALTH CARE, INC.
Subdivision Name
ECHO Community Health Care, Inc. Mulberry Street Clinic
Type
HRSA-Funded Health Center
340B ID
CH05849F
Entity Address
315 Mulberry St
Evansville, IN 47713
Grant Number
H80CS00199
Participating Start Date
10/1/2012
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1783
Pharmacy Address
2700 W BROADWAY
PRINCETON, IN 47670
Pharmacy Comments
Contract Details
Approval Date
1/7/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Sandee Strader-McMillen, CEO
(812) 421-7489 Ext: 2215
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
1/7/2020
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