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WAL-MART PHARMACY 10-5997
CH032600 New River Health Association, Inc.
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Covered Entity Details
Entity Name
New River Health Association, Inc.
Subdivision Name
New River Health Medical Mall
Type
HRSA-Funded Health Center
340B ID
CH032600
Entity Address
497 Mall Road
Oak Hill, WV 25901
Grant Number
H80CS00075
Participating Start Date
10/1/1999
Last Recertification Date
3/3/2025
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
1/12/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
John R. Schultz, Chief Executive Officer
(304) 465-2274
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
1/12/2020
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