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WAL-MART PHARMACY 10-5047
CHC33655-00 OSBORN FAMILY HEALTH CENTER, INC., THE
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Covered Entity Details
Entity Name
OSBORN FAMILY HEALTH CENTER, INC., THE
Subdivision Name
Osborn Family Health Center
Type
HRSA-Funded Health Center
340B ID
CHC33655-00
Entity Address
1601 Haddon Ave
Camden, NJ 08103-3109
Grant Number
H80CS33655
Participating Start Date
7/1/2020
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-5047
Pharmacy Address
130 BLACKHORSE PIKE
AUDUBON, NJ 08106
Pharmacy Comments
Contract Details
Approval Date
6/26/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/17/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
shawne cuilla, CEO
(856) 757-3706
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
6/26/2020
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