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Walmart Pharmacy 10-7611
CHC26512-01 PREFERRED FAMILY HEALTHCARE, INCORPORATED
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Covered Entity Details
Entity Name
PREFERRED FAMILY HEALTHCARE, INCORPORATED
Subdivision Name
Preferred Family Healthcare dba Clarity Healthcare
Type
HRSA-Funded Health Center
340B ID
CHC26512-01
Entity Address
141 COMMUNICATION DR
HANNIBAL, MO 63401-3670
Grant Number
H80CS26512
Participating Start Date
10/1/2014
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
10/9/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Mark Conover, Chief Revenue Officer
(573) 353-0014
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
10/9/2023
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