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Walmart Pharmacy 10-7611
CHC12859 HEART OF FLORIDA HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
HEART OF FLORIDA HEALTH CENTER, INC.
Subdivision Name
Heart of Florida Health Center
Type
HRSA-Funded Health Center
340B ID
CHC12859
Entity Address
1025 SW 1st Avenue
Ocala, FL 34471-0900
Grant Number
H80CS12859
Participating Start Date
10/1/2011
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
Walmart Pharmacy 10-7611
Pharmacy Address
2501 Perry Rd
Plainfield, IN 46168
Pharmacy Comments
Contract Details
Approval Date
10/2/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Matt Clay, CEO
(352) 433-2867
Contract Pharmacy Representative
Walmart
Julie Howard, 340B Program Manager
(479) 277-1498
Signed By Date
10/2/2023
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