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WAL-MART PHARMACY 10-1558
CH044920 Compassion Health Care, Inc.
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Covered Entity Details
Entity Name
Compassion Health Care, Inc.
Subdivision Name
CASWELL FAMILY MEDICAL CENTER
Type
HRSA-Funded Health Center
340B ID
CH044920
Entity Address
439 US Highway 158 W
Yanceyville, NC 27379-8304
Grant Number
H80CS00478
Participating Start Date
10/1/1997
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1558
Pharmacy Address
304 E ARBOR LANE
EDEN, NC 27288
Pharmacy Comments
Contract Details
Approval Date
1/5/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
William Crumpton, CEO
(336) 694-9331
Contract Pharmacy Representative
Walmart
Van Donn, 340B Director Contracting
(479) 273-4000
Signed By Date
1/5/2024
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