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WAL-MART PHARMACY 10-1392
CH04524A New Hanover Community Health Center Inc
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Covered Entity Details
Entity Name
New Hanover Community Health Center Inc
Subdivision Name
MedNorth Health Center at Calhoun Drive
Type
HRSA-Funded Health Center
340B ID
CH04524A
Entity Address
240 Calhoun Dr
Wilmington, NC 28412-6251
Grant Number
H80CS00572
Participating Start Date
10/1/2020
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1392
Pharmacy Address
5226 SIGMON ROAD
WILMINGTON, NC 28403
Pharmacy Comments
Contract Details
Approval Date
7/15/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Althea Johnson, CEO
(910) 202-8623
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
7/15/2021
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