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WAL-MART PHARMACY 10-5997
CH08499H COMMUNITY HEALTH PARTNERS, INC.
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Covered Entity Details
Entity Name
COMMUNITY HEALTH PARTNERS, INC.
Subdivision Name
CHP - West Yellowstone
Type
HRSA-Funded Health Center
340B ID
CH08499H
Entity Address
11 S. Electric Street
West Yellowstone, MT 59758
Grant Number
H80CS00736
Participating Start Date
7/1/2011
Last Recertification Date
2/8/2022
Entity Termination Date
4/1/2023
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-5997
Pharmacy Address
9600 PARKSOUTH CT. SUITE 100
ORLANDO, FL 32837
Pharmacy Comments
Contract Details
Approval Date
7/7/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2023
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Rebecca Hale, CFO
(406) 823-6301
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
7/7/2020
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