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WAL-MART PHARMACY 10-1465
CH031525A PIEDMONT ACCESS TO HEALTH SERVICES INC
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Covered Entity Details
Entity Name
PIEDMONT ACCESS TO HEALTH SERVICES INC
Subdivision Name
PATHS Community Medical Center - DANVILLE
Type
HRSA-Funded Health Center
340B ID
CH031525A
Entity Address
705 Main St
Danville, VA 24541-1803
Grant Number
H80CS03972
Participating Start Date
10/1/2004
Last Recertification Date
2/26/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1465
Pharmacy Address
515 MOUNT CROSS ROAD
DANVILLE, VA 24540
Pharmacy Comments
Contract Details
Approval Date
8/2/2012
Contract Begin Date
8/6/2012
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
WILLIAM CRUMPTON, COO
(434) 791-3630 Ext: 106
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
7/30/2012
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