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WAL-MART PHARMACY 10-5997
CH060740 United Medical Centers
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Covered Entity Details
Entity Name
United Medical Centers
Subdivision Name
United Medical Centers Inc.
Type
HRSA-Funded Health Center
340B ID
CH060740
Entity Address
2525 N Veterans Blvd
Eagle Pass, TX 78852-3302
Grant Number
H80CS00643
Participating Start Date
12/1/1992
Last Recertification Date
2/11/2025
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
7/17/2017
Contract Begin Date
10/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
William Worrell, CEO/Administrator
(830) 773-8917
Contract Pharmacy Representative
Walmart
Julie Howard, 340B Program Manager
(479) 277-1498
Signed By Date
7/17/2017
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