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Walmart Pharmacy 10-7611
CHC12862-00 Loudoun Community Health Center
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Covered Entity Details
Entity Name
Loudoun Community Health Center
Subdivision Name
Loudoun Community Health Center dba HealthWorks for Northern Virginia
Type
HRSA-Funded Health Center
340B ID
CHC12862-00
Entity Address
163 Fort Evans Rd NE
Leesburg, VA 20176
Grant Number
H80CS12862
Participating Start Date
1/1/2009
Last Recertification Date
2/14/2025
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
Tonya Adkins, Chief Executive Officer
(703) 840-4704
Contract Pharmacy Representative
Walmart
Julie Howard, 340B Program Manager
(479) 277-1498
Signed By Date
10/2/2023
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