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WAL-MART PHARMACY 10-0558
CH0712470 SALINA HEALTH EDUCATION FOUNDATION
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Covered Entity Details
Entity Name
SALINA HEALTH EDUCATION FOUNDATION
Subdivision Name
SALINA FAMILY HEALTHCARE CENTER
Type
HRSA-Funded Health Center
340B ID
CH0712470
Entity Address
651 E. PRESCOTT
SALINA, KS 67401
Grant Number
H80CS04216
Participating Start Date
9/9/2005
Last Recertification Date
2/17/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0558
Pharmacy Address
2900 SOUTH 9TH STREET
SALINA, KS 67401
Pharmacy Comments
Contract Details
Approval Date
1/14/2015
Contract Begin Date
4/1/2015
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Deborah K. Demel, CFO
(785) 825-7251 Ext: 319
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
1/14/2015
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