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WAL-MART PHARMACY 10-1893
STD20774 Heart to Hand Inc.
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Covered Entity Details
Entity Name
Heart to Hand Inc.
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD20774
Entity Address
9701 Apollo Drive, ste 400
Largo, MD 20774
Grant Number
NU62PS924656-02-00
Participating Start Date
10/1/2022
Last Recertification Date
5/6/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1893
Pharmacy Address
3300 NW CRAIN HWY
BOWIE, MD 20716
Pharmacy Comments
Contract Details
Approval Date
7/12/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Dedra Spears Johnson, Executive Director
(301) 772-0103
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/12/2023
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