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WAL-MART PHARMACY 10-0583
CH041440 MOUNTAIN PEOPLE'S HEALTH COUNCILS, INC.
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Covered Entity Details
Entity Name
MOUNTAIN PEOPLE'S HEALTH COUNCILS, INC.
Subdivision Name
Huntsville Primary Care Center
Type
HRSA-Funded Health Center
340B ID
CH041440
Entity Address
2974 BAKER HIGHWAY
HUNTSVILLE, TN 37756
Grant Number
H80CS00467
Participating Start Date
10/1/1996
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0583
Pharmacy Address
19740 ALBERTA STREET
ONEIDA, TN 37841
Pharmacy Comments
Contract Details
Approval Date
4/14/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
JAMES C. LOVETT, CEO
(423) 286-4141 Ext: 30
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
4/14/2020
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