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WALMART PHARMACY 10-5282
FQHCLA342 TRILLIUM HEALTH, INC.
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Covered Entity Details
Entity Name
TRILLIUM HEALTH, INC.
Subdivision Name
Trillium Health at Monroe Square
Type
Health Center Program Look-Alike
340B ID
FQHCLA342
Entity Address
259 Monroe Avenue Suite 100
Rochester, NY 14607-3632
Grant Number
LALCS00182
Participating Start Date
1/1/2017
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WALMART PHARMACY 10-5282
Pharmacy Address
3800 DEWEY AVE
GREECE, NY 14616
Pharmacy Comments
Contract Details
Approval Date
1/14/2021
Contract Begin Date
4/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/7/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Gregory Clyde Ewing, S.V.P. Compliance, Privacy, Technology & Regulatory Affairs/CCO
(585) 545-7218
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
1/14/2021
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