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Walmart Pharmacy 10-7611
CHC28980-03 Harmony Health Medical Clinic And Family Resource Center
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Covered Entity Details
Entity Name
Harmony Health Medical Clinic And Family Resource Center
Subdivision Name
Harmony Health Medical Clinic and Family Resource Center
Type
HRSA-Funded Health Center
340B ID
CHC28980-03
Entity Address
1215 Plumas Street, Suite 1400
Yuba City, CA 95991-3493
Grant Number
H80CS28980
Participating Start Date
4/1/2019
Last Recertification Date
1/29/2024
Entity Termination Date
4/1/2025
Pharmacy Details
Pharmacy Name
Walmart Pharmacy 10-7611
Pharmacy Address
2501 Perry Rd
Plainfield, IN 46168
Pharmacy Comments
Contract Details
Approval Date
10/11/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2025
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Jennifer Hunter, CFO
(530) 743-6888 Ext: 5307436888
Contract Pharmacy Representative
Walmart
Julie Howard, 340B Program Manager
(479) 277-1498
Signed By Date
10/11/2023
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