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WAL-MART PHARMACY 10-3807
CH09287E CHIRICAHUA COMMUNITY HEALTH CENTERS INC
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Covered Entity Details
Entity Name
CHIRICAHUA COMMUNITY HEALTH CENTERS INC
Subdivision Name
Chiricahua Community Health Centers Inc. Pediatric Center of Excellence
Type
HRSA-Funded Health Center
340B ID
CH09287E
Entity Address
815 15th Street
Douglas, AZ 85607
Grant Number
H80CS00696
Participating Start Date
4/1/2012
Last Recertification Date
3/3/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-3807
Pharmacy Address
201 SOUTH PRICKLY PEAR AVENUE
BENSON, AZ 85602
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
Jonathan Melk, CEO
(520) 227-9167
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
7/14/2023
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