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WAL-MART PHARMACY 10-2807
CHC10592-00 HCHC Stone Port
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Covered Entity Details
Entity Name
HCHC Stone Port
Subdivision Name
Harrisonburg Community Health Center
Type
HRSA-Funded Health Center
340B ID
CHC10592-00
Entity Address
1380 Little Sorrell Drive
Suite #100
HARRISONBURG, VA 22801
Grant Number
H80CS10592
Participating Start Date
10/1/2009
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-2807
Pharmacy Address
2160 JOHN WAYLAND HWY
HARRISONBURG (W), VA 22801
Pharmacy Comments
Contract Details
Approval Date
1/17/2022
Contract Begin Date
4/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Lisa B. Bricker, EXECUTIIVE DIRECTOR
(540) 236-3683
Contract Pharmacy Representative
Harrisonburg Community Health Center
Beth Moseley, CFO
(540) 236-3682
Signed By Date
1/17/2022
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