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Walmart Pharmacy 10-7611
CH050960 COMMUNITY AND RURAL HEALTH SERVICES
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Covered Entity Details
Entity Name
COMMUNITY AND RURAL HEALTH SERVICES
Subdivision Name
Main Site
Type
HRSA-Funded Health Center
340B ID
CH050960
Entity Address
2221 Hayes Avenue
FREMONT, OH 43420
Grant Number
H80CS00661
Participating Start Date
7/1/1998
Last Recertification Date
2/10/2025
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
JOSEPH LISZAK, CEO
(419) 334-8943 Ext: 225
Contract Pharmacy Representative
Walmart
Van Donn, Director of Contracting
(479) 277-3719
Signed By Date
10/12/2023
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