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Walmart Pharmacy 10-7611
CHC24141-00 MOUNTAIN COMMUNITY HEALTH PARTNERSHIP, INCORPORATED
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Covered Entity Details
Entity Name
MOUNTAIN COMMUNITY HEALTH PARTNERSHIP, INCORPORATED
Subdivision Name
Bakersville Community Health Center
Type
HRSA-Funded Health Center
340B ID
CHC24141-00
Entity Address
86 N Mitchell Ave
Bakersville, NC 28705-6502
Grant Number
H80CS24141
Participating Start Date
10/1/2012
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
Emily Owens, Pharmacy Director
(828) 688-2104
Contract Pharmacy Representative
Walmart
Julie Howard, 340B Program Manager
(479) 277-1498
Signed By Date
10/10/2023
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