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WAL-MART PHARMACY 10-1199
CH08126F Mountain Family Health Centers
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Covered Entity Details
Entity Name
Mountain Family Health Centers
Subdivision Name
Mountain Family Health Centers Avon
Type
HRSA-Funded Health Center
340B ID
CH08126F
Entity Address
230 Chapel Square
Unit D-102
Avon, CO 81620-6497
Grant Number
H80CS00830
Participating Start Date
7/1/2014
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1199
Pharmacy Address
171 YODER AVE
AVON, CO 81620
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
Annette M Franta, CFO
(970) 928-1636
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
10/16/2023
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