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WALMART PHARMACY 10-3145
CH10102N Sea Mar Community Health Centers
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Covered Entity Details
Entity Name
Sea Mar Community Health Centers
Subdivision Name
Sea Mar CHC - Vancouver Delaware Lane
Type
HRSA-Funded Health Center
340B ID
CH10102N
Entity Address
7410 Delaware Ln
Vancouver, WA 98664
Grant Number
H80CS00445
Participating Start Date
4/1/2001
Last Recertification Date
2/17/2025
Pharmacy Details
Pharmacy Name
WALMART PHARMACY 10-3145
Pharmacy Address
2201 GRAND BLVD.
VANCOUVER, WA 98661
Pharmacy Comments
Contract Details
Approval Date
10/11/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Mary Bartolo, Executive Vice President
(206) 763-5277
Contract Pharmacy Representative
Walmart
Julie Howard, 340B Program Manager
(479) 277-1498
Signed By Date
10/11/2023
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