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WAL-MART PHARMACY 10-1496
CH071410 PEOPLES COMMUNITY HEALTH CLINIC, INC.
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Covered Entity Details
Entity Name
PEOPLES COMMUNITY HEALTH CLINIC, INC.
Subdivision Name
PEOPLES COMMUNITY HEALTH CLINIC
Type
HRSA-Funded Health Center
340B ID
CH071410
Entity Address
905 Franklin St
Waterloo, IA 50703-4407
Grant Number
H80CS00815
Participating Start Date
12/1/1992
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1496
Pharmacy Address
1334 FLAMMANG DRIVE
WATERLOO, IA 50702
Pharmacy Comments
Contract Details
Approval Date
11/14/2012
Contract Begin Date
1/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/8/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
JENNIFER LIGHTBODY, CEO
(319) 272-4311
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
10/5/2012
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