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WAL-MART PHARMACY 10-5659
CH09071BC Community Health Centers Of The Central Coast, Inc.
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Covered Entity Details
Entity Name
Community Health Centers Of The Central Coast, Inc.
Subdivision Name
Community Health Centers - Advanced Primary Care
Type
HRSA-Funded Health Center
340B ID
CH09071BC
Entity Address
1510 E. Main Street, Suite 104B
Santa Maria, CA 93454
Grant Number
H80CS00621
Participating Start Date
7/19/2021
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-5659
Pharmacy Address
500 SOUTH BLOSSER RD
SANTA MARIA, CA 93454
Pharmacy Comments
Contract Details
Approval Date
5/4/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/5/2023
Agreement registered in error
Contacts
Covered Entity Signing Official
RONALD E. CASTLE, CEO
(805) 459-1835
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
5/4/2023
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