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WAL-MART PHARMACY 10-0523
CHC12850-03 Health Opportunities For The People Of East Texas Inc
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Covered Entity Details
Entity Name
Health Opportunities For The People Of East Texas Inc
Subdivision Name
HOPE Behavioral Health and Administration
Type
HRSA-Funded Health Center
340B ID
CHC12850-03
Entity Address
304 Logansport Street
Center, TX 75935-3446
Grant Number
H80CS12850
Participating Start Date
1/1/2019
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0523
Pharmacy Address
4609 NW LOOP 436
CARTHAGE, TX 75633
Pharmacy Comments
Contract Details
Approval Date
4/4/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jolene Busby, CFO
(936) 590-8381
Contract Pharmacy Representative
Walmart
Julie Howard, 340b Program Manager
(479) 739-1973 Ext: 4792771498
Signed By Date
4/4/2023
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