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WAL-MART PHARMACY 10-5075
CH09072M NORTH COUNTY HEALTH PROJECT INCORPORATED
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Covered Entity Details
Entity Name
NORTH COUNTY HEALTH PROJECT INCORPORATED
Subdivision Name
TrueCare
Type
HRSA-Funded Health Center
340B ID
CH09072M
Entity Address
2210 Mesa Drive, Suite 300
Oceanside, CA 92054
Grant Number
H80CS00228
Participating Start Date
7/1/2015
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-5075
Pharmacy Address
3405 MARRON RD
OCEANSIDE, CA 92056
Pharmacy Comments
Contract Details
Approval Date
10/13/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Marie Russell, Chief Medical Officer
(760) 736-8689
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
10/13/2023
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