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WAL-MART PHARMACY 10-1093
CHC29834-01 PROMISE HEALTHCARE NFP
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Covered Entity Details
Entity Name
PROMISE HEALTHCARE NFP
Subdivision Name
Promise Healthcare Neil St
Type
HRSA-Funded Health Center
340B ID
CHC29834-01
Entity Address
821 S Neil St
Champaign, IL 61820-3055
Grant Number
H80CS29834
Participating Start Date
10/1/2016
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1093
Pharmacy Address
845 BROADMEADOW RD
RANTOUL, IL 61866
Pharmacy Comments
Contract Details
Approval Date
7/7/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/25/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Jennifer Henry, Promise Healthcare Executive Director
(217) 403-5401
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
7/7/2023
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