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Walmart Pharmacy 10-7611
CHC26573-00 TRAVERSE HEALTH CLINIC AND COALITION
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Covered Entity Details
Entity Name
TRAVERSE HEALTH CLINIC AND COALITION
Subdivision Name
Traverse Health Clinic and Coalition
Type
HRSA-Funded Health Center
340B ID
CHC26573-00
Entity Address
1719 S. Garfield Ave.
Traverse City, MI 49686
Grant Number
H80CS26573
Participating Start Date
4/1/2017
Last Recertification Date
2/24/2025
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
Krista Tharp, Corporate Compliance and Risk Officer
(231) 935-0799 Ext: 5936
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
10/9/2023
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