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WAL-MART PHARMACY 10-0981
CH044710 FRANKLIN PRIMARY HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
FRANKLIN PRIMARY HEALTH CENTER, INC.
Subdivision Name
FRANKLIN MEDICAL MALL
Type
HRSA-Funded Health Center
340B ID
CH044710
Entity Address
1303 DR. MARTIN LUTHER KING
MOBILE, AL 36603-5398
Grant Number
H80CS00099
Participating Start Date
1/1/1994
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0981
Pharmacy Address
1733 SECOND ST SOUTH
MERIDIAN, MS 39301
Pharmacy Comments
Contract Details
Approval Date
1/13/2021
Contract Begin Date
4/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/10/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Charles White, Chief Executive Officer
(251) 434-8188
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
1/13/2021
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