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Walmart Pharmacy 10-7611
CH0452880 TRIAD HEALTH SYSTEM INC
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Covered Entity Details
Entity Name
TRIAD HEALTH SYSTEM INC
Subdivision Name
TRIAD HEALTH SYSTEMS CHC
Type
HRSA-Funded Health Center
340B ID
CH0452880
Entity Address
441 US Highway 42 West
Warsaw, KY 41095-9323
Grant Number
H80CS08785
Participating Start Date
7/1/2008
Last Recertification Date
2/25/2025
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
ADAM CRAFT, EXECUTIVE DIRECTOR
(859) 567-1271
Contract Pharmacy Representative
Triad Health Systems
Elizabeth St. Cyr, PIC
(859) 567-1314
Signed By Date
10/10/2023
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