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WAL-MART PHARMACY 10-1919
CH015110 HEALTH ACCESS NETWORK
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Covered Entity Details
Entity Name
HEALTH ACCESS NETWORK
Subdivision Name
Health Access Network Lincoln
Type
HRSA-Funded Health Center
340B ID
CH015110
Entity Address
175 WEST BROADWAY
LINCOLN, ME 04457
Grant Number
H80CS02450
Participating Start Date
1/1/2004
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1919
Pharmacy Address
250 WEST BROADWAY
LINCOLN, ME 04457
Pharmacy Comments
Contract Details
Approval Date
4/20/2012
Contract Begin Date
4/20/2012
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jeff Kirsch, CFO
(207) 794-6700
Contract Pharmacy Representative
Wal--Mart
Marcus Osborne, Sales & Contracting
(479) 204-8452
Signed By Date
4/6/2012
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