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WAL-MART CENTRAL FILL 10-2670
CH084100 HIGH PLAINS COMMUNITY HEALTH CENTER
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Covered Entity Details
Entity Name
HIGH PLAINS COMMUNITY HEALTH CENTER
Subdivision Name
HIGH PLAINS COMMUNITY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH084100
Entity Address
201 Kendall Dr
Lamar, CO 81052-3939
Grant Number
H80CS00214
Participating Start Date
7/1/1997
Last Recertification Date
2/25/2025
Pharmacy Details
Pharmacy Name
WAL-MART CENTRAL FILL 10-2670
Pharmacy Address
608 SPRING HILL DR # 3 SUITE 300
SPRING, TX 77386
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
ERIC NIEMEYER, CEO
(719) 336-0261 Ext: 120
Contract Pharmacy Representative
Walmart
Julie Howard, 340B Program Manager
(479) 277-1498
Signed By Date
1/15/2020
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