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WAL-MART PHARMACY 10-0445
CHC33793-00 A+ FAMILY HEALTHCARE, LLC
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Covered Entity Details
Entity Name
A+ FAMILY HEALTHCARE, LLC
Subdivision Name
A Plus Family Healthcare-Brownsville
Type
HRSA-Funded Health Center
340B ID
CHC33793-00
Entity Address
210 S. Main Street STE 101
Brownsville, KY 42210-9001
Grant Number
H80CS33793
Participating Start Date
1/1/2020
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0445
Pharmacy Address
1801 ELIZABETHTOWN RD
LEITCHFIELD, KY 42754
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
Patrick Merritt, CEO
(270) 975-4050
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
7/14/2023
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