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WAL-MART PHARMACY 10-5997
CH044310 MCR Health, Inc.
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Covered Entity Details
Entity Name
MCR Health, Inc.
Subdivision Name
EDGAR J. PRICE FAMILY & CHILDREN HEALTHCARE CENTER
Type
HRSA-Funded Health Center
340B ID
CH044310
Entity Address
12271 US HIGHWAY 301 NORTH
Parrish, FL 34219-8410
Grant Number
H80CS00097
Participating Start Date
12/1/1992
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
8/4/2017
Contract Begin Date
10/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
WALTER L. PRESHA, CEO
(941) 776-4000
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
8/4/2017
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