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WAL-MART PHARMACY 10-1843
CH10123H VIRGINIA GARCIA MEMORIAL HEALTH CENTER
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Covered Entity Details
Entity Name
VIRGINIA GARCIA MEMORIAL HEALTH CENTER
Subdivision Name
Tigard School Based Health Center
Type
HRSA-Funded Health Center
340B ID
CH10123H
Entity Address
9000 SW Durham Rd Bldg 7110
Tigard, OR 97224-5539
Grant Number
H80CS00817
Participating Start Date
7/1/2013
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1843
Pharmacy Address
2375 NORTH 99 WEST
MCMINNVILLE, OR 97128
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
Annmarie Rainford Dennis, Corporate Compliance Officer
(503) 214-1652
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
10/12/2023
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