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Walmart Pharmacy 10-7611
CH0621770 CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT #1
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Covered Entity Details
Entity Name
CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT #1
Subdivision Name
BAYSIDE COMMUNITY HOSPITAL
Type
HRSA-Funded Health Center
340B ID
CH0621770
Entity Address
200 HOSPITAL DRIVE
ANAHUAC, TX 77514
Grant Number
H80CS08788
Participating Start Date
9/1/2008
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
Walmart Pharmacy 10-7611
Pharmacy Address
2501 Perry Rd
Plainfield, IN 46168
Pharmacy Comments
Contract Details
Approval Date
10/12/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Elissa Lofgren, Executive Director
(281) 576-0670
Contract Pharmacy Representative
Walmart
Julie Howard, 340B Program Manager
(479) 277-1498
Signed By Date
10/12/2023
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