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WAL-MART PHARMACY 10-0689
FQHCLA422B Faith Healthcare, Inc
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Covered Entity Details
Entity Name
Faith Healthcare, Inc
Subdivision Name
Science Hill Community Care
Type
Health Center Program Look-Alike
340B ID
FQHCLA422B
Entity Address
5775 N Highway 27 Ste 6
Science Hill, KY 42553-9140
Grant Number
LALCS40209
Participating Start Date
9/10/2021
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0689
Pharmacy Address
177 WASHINGTON DR
SOMERSET, KY 42501
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
Timothy Carnes, 340B Program Co-Director/Chief Pharmacy Officer
(270) 566-1074
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
4/15/2022
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