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Walmart Pharmacy 10-7611
CH060740 United Medical Centers
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Covered Entity Details
Entity Name
United Medical Centers
Subdivision Name
United Medical Centers Inc.
Type
HRSA-Funded Health Center
340B ID
CH060740
Entity Address
2525 N Veterans Blvd
Eagle Pass, TX 78852-3302
Grant Number
H80CS00643
Participating Start Date
12/1/1992
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
William Worrell, CEO/Administrator
(830) 773-8917
Contract Pharmacy Representative
Walmart
Julie Howard, 340B Program Manager
(479) 277-1498
Signed By Date
10/3/2023
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