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WAL-MART PHARMACY 10-5129
CHC10591-02 COMMUNITY CLINIC, INC.
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Covered Entity Details
Entity Name
COMMUNITY CLINIC, INC.
Subdivision Name
CCI-GAITHERSBURG
Type
HRSA-Funded Health Center
340B ID
CHC10591-02
Entity Address
220 GIRARD ST
Suite 100
GAITHERSBURG, MD 20877
Grant Number
H80CS10591
Participating Start Date
7/1/2009
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-5129
Pharmacy Address
6210 ANNAPOLIS RD
LANDOVER HILLS, MD 20784
Pharmacy Comments
Contract Details
Approval Date
10/15/2020
Contract Begin Date
1/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Sonya J. Bruton, CEO and President
(240) 839-5107
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
10/15/2020
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