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WAL-MART PHARMACY 10-5997
CHC24197-08 Health Services of North Texas , Inc.
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Covered Entity Details
Entity Name
Health Services of North Texas , Inc.
Subdivision Name
HSNT Plano
Type
HRSA-Funded Health Center
340B ID
CHC24197-08
Entity Address
5501 Independence Pkwy
Ste 110
Plano, TX 75023-5472
Grant Number
H80CS24197
Participating Start Date
7/1/2018
Last Recertification Date
2/18/2025
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
7/15/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/31/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Doreen Rue, CEO
(940) 381-1501 Ext: 3001
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
7/15/2020
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