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WAL-MART PHARMACY 10-0345
CHC11422-02 MOUNT ENTERPRISE COMMUNITY HEALTH CLINIC
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Covered Entity Details
Entity Name
MOUNT ENTERPRISE COMMUNITY HEALTH CLINIC
Subdivision Name
Crossroads Family Care Palestine
Type
HRSA-Funded Health Center
340B ID
CHC11422-02
Entity Address
4002 S. Loop 256 Suite K
Palestine, TX 75801-5003
Grant Number
H80CS12856
Participating Start Date
7/1/2017
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0345
Pharmacy Address
2223 SOUTH LOOP 256
PALESTINE, TX 75801
Pharmacy Comments
Contract Details
Approval Date
1/18/2022
Contract Begin Date
4/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kenneth A. White, CEO
(903) 822-3076
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
1/18/2022
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