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Walmart Pharmacy 10-7611
CHC24170-05 Heartland Medical Clinic, Incorporated
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Covered Entity Details
Entity Name
Heartland Medical Clinic, Incorporated
Subdivision Name
Heartland at Panda Pediatrics
Type
HRSA-Funded Health Center
340B ID
CHC24170-05
Entity Address
1803 W 6th St
Lawrence, KS 66044-1710
Grant Number
H80CS24170
Participating Start Date
4/1/2021
Last Recertification Date
2/11/2025
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
Julie Branstrom, CEO
(785) 841-7297
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
10/16/2023
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