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WAL-MART PHARMACY 10-5997
CHC08231-00 HOUSTON COMMUNITY HEALTH CENTERS INC
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Covered Entity Details
Entity Name
HOUSTON COMMUNITY HEALTH CENTERS INC
Subdivision Name
HOUSTON COMMUNITY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CHC08231-00
Entity Address
424 Hahlo St
Houston, TX 77020-3022
Grant Number
H80CS08231
Participating Start Date
9/9/2005
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-5997
Pharmacy Address
9600 PARKSOUTH CT. SUITE 100
ORLANDO, FL 32837
Pharmacy Comments
Contract Details
Approval Date
4/17/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Daniel Moises Montez, CEO
(713) 343-5450
Contract Pharmacy Representative
Walmart
Julie Howard, 340b Program Manager
(479) 739-1973 Ext: 4792771498
Signed By Date
4/17/2023
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