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WAL-MART CENTRAL FILL 10-2670
CH048070 COMMUNITY HEALTH CENTERS OF WESTERN KENTUCKY, INC.
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Covered Entity Details
Entity Name
COMMUNITY HEALTH CENTERS OF WESTERN KENTUCKY, INC.
Subdivision Name
CHCS OF WESTERN KENTUCKY, INC.
Type
HRSA-Funded Health Center
340B ID
CH048070
Entity Address
480 HOPKINSVILLE ST,
GREENVILLE, KY 42345-1124
Grant Number
H80CS00562
Participating Start Date
10/1/1997
Last Recertification Date
2/13/2025
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
4/15/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Roger Arbuckle, CEO
(270) 338-5777
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
4/15/2020
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