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WAL-MART PHARMACY 10-5315
CH11355-00 FIRST CARE CLINIC, INC.
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Covered Entity Details
Entity Name
FIRST CARE CLINIC, INC.
Subdivision Name
First Care Clinic, Inc.
Type
HRSA-Funded Health Center
340B ID
CH11355-00
Entity Address
105 W. 13th Street
Hays, KS 67601
Grant Number
H80CS12891
Participating Start Date
10/1/2016
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-5315
Pharmacy Address
2354 COMMERCE PARK DR.
ORLANDO, FL 32819
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
6/27/2022
Pharmacy closed
Contacts
Covered Entity Signing Official
Bryan Brady, CEO
(785) 621-4990
Contract Pharmacy Representative
First Care Clinic, Inc.
Bryan Brady, CEO
(785) 621-4990
Signed By Date
7/15/2020
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