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Walmart Pharmacy 10-7611
CHC28346-00 CRAVEN COUNTY GOVERNMENT
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Covered Entity Details
Entity Name
CRAVEN COUNTY GOVERNMENT
Subdivision Name
CCHD - Craven County Community Health Center
Type
HRSA-Funded Health Center
340B ID
CHC28346-00
Entity Address
2818 NEUSE BLVD
NEW BERN, NC 28562-2850
Grant Number
H80CS28346
Participating Start Date
4/1/2022
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
Walmart Pharmacy 10-7611
Pharmacy Address
2501 Perry Rd
Plainfield, IN 46168
Pharmacy Comments
Contract Details
Approval Date
10/16/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jennifer Blackmon, Deputy Health Director
(252) 636-4964
Contract Pharmacy Representative
Walmart
Julie Howard, 340B Program Manager
(479) 277-1498
Signed By Date
10/16/2023
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