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WAL-MART PHARMACY 10-1605
CH045289E ESCAMBIA COMMUNITY CLINICS INC
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Covered Entity Details
Entity Name
ESCAMBIA COMMUNITY CLINICS INC
Subdivision Name
Palafox Primary Care
Type
HRSA-Funded Health Center
340B ID
CH045289E
Entity Address
1400 N. Palafox St.
Pensacola, FL 32501-1734
Grant Number
H80CS08755
Participating Start Date
4/1/2013
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1605
Pharmacy Address
4600 MOBILE HWY-STE. 122
PENSACOLA W, FL 32506
Pharmacy Comments
Contract Details
Approval Date
4/6/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Chandra Smiley, Chief Executive Officer
(850) 472-0053
Contract Pharmacy Representative
Escambia Community Clinics, Inc.
Chandra Smiley, Chief Executive Officer
(850) 472-0053
Signed By Date
4/6/2023
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