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WAL-MART PHARMACY 10-1110
CH0627740 Morehouse Community Medical Centers, Inc.
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Covered Entity Details
Entity Name
Morehouse Community Medical Centers, Inc.
Subdivision Name
CommuniHealth Services - Bastrop Community Health Center
Type
HRSA-Funded Health Center
340B ID
CH0627740
Entity Address
314 N Franklin Street
Bastrop, LA 71220
Grant Number
H80CS08764
Participating Start Date
7/1/2008
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1110
Pharmacy Address
833 STERLINGTON HWY
FARMERVILLE, LA 71241
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
Katie Parnell, CEO
(318) 239-8026
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
4/17/2023
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