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WAL-MART PHARMACY 10-2447
CHC25682-00 Christian Community Health Services
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Covered Entity Details
Entity Name
Christian Community Health Services
Subdivision Name
Crossroad Health Center
Type
HRSA-Funded Health Center
340B ID
CHC25682-00
Entity Address
5 E Liberty St
Cincinnati, OH 45202-8202
Grant Number
H80CS25682
Participating Start Date
4/1/2013
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-2447
Pharmacy Address
2322 FERGUSON RD
CINCINNATI (WEST), OH 45238
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
James Joseph Berrens, CEO
(513) 707-5755
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
10/16/2023
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