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WAL-MART PHARMACY 10-5997
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 10-5997
Pharmacy Address
9600 PARKSOUTH CT. SUITE 100
ORLANDO, FL 32837
Pharmacy Comments
Contract Details
Approval Date
7/14/2017
Contract Begin Date
10/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
MARGARET BRENNAN, PRESIDENT/CEO
(407) 905-8827 Ext: 1060
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
7/14/2017
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