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WAL-MART PHARMACY 10-5997
CH041720 CENTRAL FLORIDA FAMILY HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
CENTRAL FLORIDA FAMILY HEALTH CENTER, INC.
Subdivision Name
Sanford Health Center
Type
HRSA-Funded Health Center
340B ID
CH041720
Entity Address
4930 E Lake Mary Blvd
SANFORD, FL 32771-6012
Grant Number
H80CS00178
Participating Start Date
12/1/1992
Last Recertification Date
3/3/2025
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
7/14/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Janelle A Dunn, CEO
(407) 322-8645 Ext: 1132
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
7/14/2020
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