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WALMART PHARMACY 10-5169
STD33426 Oceana Community Health Inc
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Covered Entity Details
Entity Name
Oceana Community Health Inc
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD33426
Entity Address
2828 S Seacrest Blvd
SUITE 208
Boynton Beach, FL 33435
Grant Number
H25PS005131
Participating Start Date
2/3/2023
Last Recertification Date
5/6/2024
Pharmacy Details
Pharmacy Name
WALMART PHARMACY 10-5169
Pharmacy Address
2252 NORTH 8TH STREET
SUITE A
ROGERS, AR 72756
Pharmacy Comments
Contract Details
Approval Date
7/17/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Youssef Motii, Executive Director
(561) 543-2236
Contract Pharmacy Representative
Walmart
Tisha Campbell, Director of Contracting
(949) 872-4138
Signed By Date
7/17/2023
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