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WAL-MART PHARMACY 10-0634
CHC26597-00 CARE NET OF LANCASTER
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Covered Entity Details
Entity Name
CARE NET OF LANCASTER
Subdivision Name
Plexus | Lancaster | 703 N. White
Type
HRSA-Funded Health Center
340B ID
CHC26597-00
Entity Address
703 N. White St
Lancaster, SC 29720-6261
Grant Number
H80CS26597
Participating Start Date
7/1/2014
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0634
Pharmacy Address
2240 W. DEKALB STREET
CAMDEN, SC 29020
Pharmacy Comments
Contract Details
Approval Date
11/4/2022
Contract Begin Date
11/7/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Randall Stewart Barre, CEO
(803) 465-3608
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
11/4/2022
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