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WAL-MART PHARMACY 10-1948
CHC08238-05 Change, Incorporated
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Covered Entity Details
Entity Name
Change, Incorporated
Subdivision Name
FMC -SBHC Brooke Complex
Type
HRSA-Funded Health Center
340B ID
CHC08238-05
Entity Address
29 Bruin Drive
Wellsburg, WV 26070-3064
Grant Number
H80CS08238
Participating Start Date
7/1/2018
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1948
Pharmacy Address
400 THREE SPRINGS DR
WEIRTON, WV 26062
Pharmacy Comments
Contract Details
Approval Date
4/18/2023
Contract Begin Date
4/18/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Lisa Mowry, CEO
(304) 797-7733 Ext: 1311
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
4/18/2023
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