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Walmart Pharmacy 10-7611
CH095340 Altura Centers for Health
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Covered Entity Details
Entity Name
Altura Centers for Health
Subdivision Name
Altura Centers for Health Cartmill Campus
Type
HRSA-Funded Health Center
340B ID
CH095340
Entity Address
1134 E Cartmill Avenue
TULARE, CA 93274-9615
Grant Number
H80CS00338
Participating Start Date
4/1/1999
Last Recertification Date
2/10/2025
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
GRACIELA Soto Perez, CEO
(559) 685-4601
Contract Pharmacy Representative
Walmart
Julie Howard, 340B Program Manager
(479) 277-1498
Signed By Date
10/3/2023
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