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WAL-MART PHARMACY 10-2484
CH04037B FLORIDA COMMUNITY HEALTH CENTER INC
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Covered Entity Details
Entity Name
FLORIDA COMMUNITY HEALTH CENTER INC
Subdivision Name
CLEWISTON COMMUNITY HEALTH CTR
Type
HRSA-Funded Health Center
340B ID
CH04037B
Entity Address
315 S W C Owen Ave
Clewiston, FL 33440-3637
Grant Number
H80CS00798
Participating Start Date
12/1/1992
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-2484
Pharmacy Address
1005 WEST SUGARLAND HWY
CLEWISTON, FL 33440
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
Margaret Virginia Russell, VP & CFO
(561) 844-9443 Ext: 1003
Contract Pharmacy Representative
Walmart
Julie Howard, 340B Program Manager
(479) 277-1498
Signed By Date
10/16/2023
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