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Walmart Pharmacy 10-7611
CHC28361-00 SUMMIT COMMUNITY CARE CLINIC
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Covered Entity Details
Entity Name
SUMMIT COMMUNITY CARE CLINIC
Subdivision Name
Summit Community Care Clinic, Inc.
Type
HRSA-Funded Health Center
340B ID
CHC28361-00
Entity Address
360 Peak One Drive STE 100
Frisco, CO 80443
Grant Number
H80CS28361
Participating Start Date
10/1/2015
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
Walmart Pharmacy 10-7611
Pharmacy Address
2501 Perry Rd
Plainfield, IN 46168
Pharmacy Comments
Contract Details
Approval Date
10/3/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Susan Robertson, Interim Chief Executive Officer
(970) 822-8616
Contract Pharmacy Representative
Walmart
Jodi Prohofsky, Sr. Director
(479) 277-1498
Signed By Date
10/3/2023
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