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WAL-MART PHARMACY 10-4425
CH041660 Community Health Centers, Inc.
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Covered Entity Details
Entity Name
Community Health Centers, Inc.
Subdivision Name
COMMUNITY HEALTH CENTERS, INC.
Type
HRSA-Funded Health Center
340B ID
CH041660
Entity Address
110 S Woodland St
Winter Garden, FL 34787-3546
Grant Number
H80CS00809
Participating Start Date
12/1/1992
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-4425
Pharmacy Address
7818 W.COLONIAL DRIVE
ORLANDO, FL 32818
Pharmacy Comments
Contract Details
Approval Date
10/2/2014
Contract Begin Date
1/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/1/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Barbara Snell, President/CEO
(407) 905-8827 Ext: 1060
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
10/2/2014
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