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Walmart Pharmacy 10-7611
CH052270 Hopewell Health Centers, Inc.
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Covered Entity Details
Entity Name
Hopewell Health Centers, Inc.
Subdivision Name
Hopewell Health Centers - Chillicothe
Type
HRSA-Funded Health Center
340B ID
CH052270
Entity Address
1049 WESTERN AVENUE
CHILLICOTHE, OH 45601
Grant Number
H80CS00193
Participating Start Date
4/1/1996
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
Walmart Pharmacy 10-7611
Pharmacy Address
2501 Perry Rd
Plainfield, IN 46168
Pharmacy Comments
Contract Details
Approval Date
10/9/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Mark Bridenbaugh, Chief Executive Officer
(740) 773-1006 Ext: 2004
Contract Pharmacy Representative
Walmart
Van Donn, Director of Contracting 340b
(303) 261-5549
Signed By Date
10/9/2023
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