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WAL-MART PHARMACY 10-2115
CHC28349-00 SPRINGVALE HEALTH CENTERS, INC.
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Covered Entity Details
Entity Name
SPRINGVALE HEALTH CENTERS, INC.
Subdivision Name
204 Bellevue St.
Type
HRSA-Funded Health Center
340B ID
CHC28349-00
Entity Address
204 S Bellevue Ave
Dover, OH 44622-9405
Grant Number
H80CS28349
Participating Start Date
8/18/2021
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-2115
Pharmacy Address
231 BLUEBELL DR NW.
NEW PHILADELPHIA, OH 44663
Pharmacy Comments
Contract Details
Approval Date
9/13/2021
Contract Begin Date
9/13/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/28/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Joseph Boroski, Chief Executive Officer
(330) 343-6631
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
9/13/2021
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