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WAL-MART PHARMACY 10-2326
CH020180 OAK ORCHARD COMMUNITY HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
OAK ORCHARD COMMUNITY HEALTH CENTER, INC.
Subdivision Name
OAK ORCHARD COMMUNITY HEALTH CENTER, INC.
Type
HRSA-Funded Health Center
340B ID
CH020180
Entity Address
300 West Ave
Brockport, NY 14420-1118
Grant Number
H80CS00170
Participating Start Date
10/14/2008
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-2326
Pharmacy Address
1000 STATE ROUTE 36
HORNELL, NY 14843
Pharmacy Comments
Contract Details
Approval Date
10/15/2020
Contract Begin Date
1/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Sarah Patricia Sargent, Sr. Financial Accountant
(585) 637-3905
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
10/15/2020
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