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WAL-MART PHARMACY 10-2495
CHC10608-27 Central City Community Health Center, Inc.
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Covered Entity Details
Entity Name
Central City Community Health Center, Inc.
Subdivision Name
Central City Community Health Center - Lincoln 2
Type
HRSA-Funded Health Center
340B ID
CHC10608-27
Entity Address
1814 W Lincoln Ave
Anaheim, CA 92801-6730
Grant Number
H80CS10608
Participating Start Date
8/26/2020
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-2495
Pharmacy Address
13331 BEACH BLVD
WESTMINSTER, CA 92683
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
Sommer R Kaskowitz, Chief Nursing Officer
(323) 724-0019 Ext: 1026
Contract Pharmacy Representative
Walmart
Julie Howard, 340B Program Manager
(479) 277-1498
Signed By Date
10/13/2023
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