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WALMART PHARMACY 10-7174
CH037150 RICHMOND, CITY OF
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Covered Entity Details
Entity Name
RICHMOND, CITY OF
Subdivision Name
VERNON J. HARRIS EAST END CHC
Type
HRSA-Funded Health Center
340B ID
CH037150
Entity Address
719 N 25th St
Richmond, VA 23223-6539
Grant Number
H80CS00174
Participating Start Date
4/1/2000
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WALMART PHARMACY 10-7174
Pharmacy Address
5700 HOPKINS ROAD
NORTH CHESTERFIELD, VA 23234
Pharmacy Comments
Contract Details
Approval Date
1/10/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Tracy Causey, CEO
(804) 253-1968
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
1/10/2020
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