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WAL-MART PHARMACY 10-1850
CH03270D KEYSTONE RURAL HEALTH CENTER
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Covered Entity Details
Entity Name
KEYSTONE RURAL HEALTH CENTER
Subdivision Name
KEYSTONE FAMILY MEDICINE
Type
HRSA-Funded Health Center
340B ID
CH03270D
Entity Address
820 5th Ave
Chambersburg, PA 17201-4219
Grant Number
H80CS00076
Participating Start Date
4/1/2007
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1850
Pharmacy Address
1730 LINCOLN WAY EAST
CHAMBERSBURG, PA 17201
Pharmacy Comments
03/26/2012 changed zip (was 17201)
Contract Details
Approval Date
1/16/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
JOANNE COCHRAN, PRESIDENT AND CEO
(717) 709-7906
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
1/16/2023
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