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Walmart Pharmacy 10-7611
CH091750 MOUNTAIN VALLEYS HEALTH CENTERS
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Covered Entity Details
Entity Name
MOUNTAIN VALLEYS HEALTH CENTERS
Subdivision Name
BIG VALLEY MEDICAL CENTER
Type
HRSA-Funded Health Center
340B ID
CH091750
Entity Address
554-850 MEDICAL CENTER DRIVE
BIEBER, CA 96009-0277
Grant Number
H80CS00260
Participating Start Date
4/1/2000
Last Recertification Date
2/17/2025
Pharmacy Details
Pharmacy Name
Walmart Pharmacy 10-7611
Pharmacy Address
2501 Perry Rd
Plainfield, IN 46168
Pharmacy Comments
Contract Details
Approval Date
10/10/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Shannon Gerig, CEO
(530) 999-9010
Contract Pharmacy Representative
Walmart
Julie Howard, 340B Program Manager
(479) 277-1498
Signed By Date
10/10/2023
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