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WAL-MART PHARMACY 10-5997
CH0627740 Morehouse Community Medical Centers, Inc.
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Covered Entity Details
Entity Name
Morehouse Community Medical Centers, Inc.
Subdivision Name
CommuniHealth Services - Bastrop Community Health Center
Type
HRSA-Funded Health Center
340B ID
CH0627740
Entity Address
314 N Franklin Street
Bastrop, LA 71220
Grant Number
H80CS08764
Participating Start Date
7/1/2008
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-5997
Pharmacy Address
9600 PARKSOUTH CT. SUITE 100
ORLANDO, FL 32837
Pharmacy Comments
Contract Details
Approval Date
4/15/2022
Contract Begin Date
7/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Katie Parnell, CEO
(318) 239-8026
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
4/15/2022
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