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Walmart Pharmacy 10-7611
CHC24101-00 ADAPT
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Covered Entity Details
Entity Name
ADAPT
Subdivision Name
FQHC- Main Winston
Type
HRSA-Funded Health Center
340B ID
CHC24101-00
Entity Address
671 SW Main St
Winston, OR 97496-9660
Grant Number
H80CS24101
Participating Start Date
4/1/2014
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
Walmart Pharmacy 10-7611
Pharmacy Address
2501 Perry Rd
Plainfield, IN 46168
Pharmacy Comments
Contract Details
Approval Date
10/5/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Gregory Brigham, Authorizing Official
(541) 672-2961
Contract Pharmacy Representative
Walmart
Julie Howard, 340B Program Manager
(479) 277-1498
Signed By Date
10/5/2023
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