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WAL-MART PHARMACY 10-2228
CH01384B COMMUNITY HEALTH PROGRAMS, INCORPORATED
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Covered Entity Details
Entity Name
COMMUNITY HEALTH PROGRAMS, INCORPORATED
Subdivision Name
CHP Great Barrington Family Health and Dental Center
Type
HRSA-Funded Health Center
340B ID
CH01384B
Entity Address
444 Stockbridge Rd
Great Barrington, MA 01230-1295
Grant Number
H80CS00237
Participating Start Date
7/1/2013
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-2228
Pharmacy Address
555 HUBBARD AVENUE SUITE 12
PITTSFIELD, MA 01201
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
Agreement registered in error
Contacts
Covered Entity Signing Official
Amelia Spiliotes, CEO
(413) 528-9311 Ext: 1107
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
10/15/2020
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