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WAL-MART PHARMACY 10-3133
CH099000 EAST VALLEY COMMUNITY HEALTH CENTER INC
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Covered Entity Details
Entity Name
EAST VALLEY COMMUNITY HEALTH CENTER INC
Subdivision Name
EAST VALLEY COMMUNITY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH099000
Entity Address
420 S Glendora Ave
West Covina, CA 91790-3001
Grant Number
H80CS00286
Participating Start Date
4/1/1998
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-3133
Pharmacy Address
1425 N HACIENDA BLVD
LA PUENTE, CA 91744
Pharmacy Comments
Contract Details
Approval Date
6/1/2023
Contract Begin Date
6/2/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
ALICIA MARDINI, CEO
(626) 919-4333 Ext: 2220
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
6/1/2023
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