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WAL-MART PHARMACY 10-5727
CH044310 MCR Health, Inc.
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Covered Entity Details
Entity Name
MCR Health, Inc.
Subdivision Name
EDGAR J. PRICE FAMILY & CHILDREN HEALTHCARE CENTER
Type
HRSA-Funded Health Center
340B ID
CH044310
Entity Address
12271 US HIGHWAY 301 NORTH
Parrish, FL 34219-8410
Grant Number
H80CS00097
Participating Start Date
12/1/1992
Last Recertification Date
2/25/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-5727
Pharmacy Address
5810 RANCH LAKE BLVD
BRADENTON, FL 34202
Pharmacy Comments
Contract Details
Approval Date
4/15/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/15/2025
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Linda Anne Snyder, Chief Compliance Officer/VP Government Affairs,HR
(941) 304-7975
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
4/15/2023
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