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WAL-MART PHARMACY 10-2754
CH0438590 NEIGHBORHOOD IMPROVEMENT PROJECT, INC.
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Covered Entity Details
Entity Name
NEIGHBORHOOD IMPROVEMENT PROJECT, INC.
Subdivision Name
Medical Associates Plus @ Belle Terrace
Type
HRSA-Funded Health Center
340B ID
CH0438590
Entity Address
2467 Golden Camp Rd
Augusta, GA 30906-5515
Grant Number
H80CS08751
Participating Start Date
10/14/2008
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-2754
Pharmacy Address
1500 NORTH LIBERTY STREET
WAYNESBORO, GA 30830
Pharmacy Comments
Contract Details
Approval Date
1/15/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Wesley Wood, CFO
(706) 790-4440 Ext: 100
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
1/15/2020
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