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HOPE-WELL PHARMACY CLEVELAND LLC
CH039840 WALNUT STREET COMMUNITY HEALTH CENTER
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Covered Entity Details
Entity Name
WALNUT STREET COMMUNITY HEALTH CENTER
Subdivision Name
Walnut Street Community Heath Center, Inc. DBA: FAMILY HEALTHCARE OF HAGERSTOWN
Type
HRSA-Funded Health Center
340B ID
CH039840
Entity Address
201 South Cleveland Avenue
HAGERSTOWN, MD 21740-4738
Grant Number
H80CS00857
Participating Start Date
10/1/2003
Last Recertification Date
2/27/2025
Pharmacy Details
Pharmacy Name
HOPE-WELL PHARMACY CLEVELAND LLC
Pharmacy Address
DBA EXPRESS PHARMACY #5
201 S CLEVELAND AVE STE 101
HAGERSTOWN, MD 21740-5758
Pharmacy Comments
Contract Details
Approval Date
4/1/2016
Contract Begin Date
7/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2022
Ownership change
Contacts
Covered Entity Signing Official
Kimberly Z. Murdaugh, Executive Director
(301) 745-3777 Ext: 1079
Contract Pharmacy Representative
Tom Vu, Owner/Pharmacist
(301) 791-5220
Signed By Date
4/1/2016
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