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WAL-MART PHARMACY 10-5358
CH03270J KEYSTONE RURAL HEALTH CENTER
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Covered Entity Details
Entity Name
KEYSTONE RURAL HEALTH CENTER
Subdivision Name
Keystone Agricultural Worker Program - Adams Co.
Type
HRSA-Funded Health Center
340B ID
CH03270J
Entity Address
3375 Carlisle Rd
Gardners, PA 17324
Grant Number
H80CS00076
Participating Start Date
4/1/2007
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-5358
Pharmacy Address
100 SOUTH CONESTOGA DRIVE
SHIPPENSBURG, PA 17257
Pharmacy Comments
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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