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WAL-MART PHARMACY 10-5997
CH013370 First Choice Health Centers, Inc.
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Covered Entity Details
Entity Name
First Choice Health Centers, Inc.
Subdivision Name
First Choice Health Centers, Inc
Type
HRSA-Funded Health Center
340B ID
CH013370
Entity Address
94 Connecticut Blvd
East Hartford, CT 06108-3013
Grant Number
H80CS00262
Participating Start Date
4/1/2001
Last Recertification Date
2/25/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-5997
Pharmacy Address
9600 PARKSOUTH CT. SUITE 100
ORLANDO, FL 32837
Pharmacy Comments
Contract Details
Approval Date
7/14/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Sabrina Griswold, Director of Pharmacy
(860) 610-6366
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
7/14/2023
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