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WAL-MART PHARMACY 10-5997
CHC04215-00 Healthfirst Family Care Center
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Covered Entity Details
Entity Name
Healthfirst Family Care Center
Subdivision Name
Healthfirst Family Care Center
Type
HRSA-Funded Health Center
340B ID
CHC04215-00
Entity Address
387 Quarry Street, Suite 100
Fall River, MA 02723-1007
Grant Number
H80CS04215
Participating Start Date
7/1/2011
Last Recertification Date
2/11/2025
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
4/13/2021
Contract Begin Date
7/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/31/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
JULIE Mary ALMOND, CEO
(508) 679-8111 Ext: 205
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
4/13/2021
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