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WAL-MART PHARMACY 10-1712
CH04907M COMMUNITY HEALTH CENTERS OF PINELLAS, INC.
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Covered Entity Details
Entity Name
COMMUNITY HEALTH CENTERS OF PINELLAS, INC.
Subdivision Name
Evara Health - St. Petersburg
Type
HRSA-Funded Health Center
340B ID
CH04907M
Entity Address
612 Dr. Martin Luther King, Jr Street North
Saint Petersburg, FL 33705
Grant Number
H80CS00463
Participating Start Date
4/1/2015
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1712
Pharmacy Address
990 MISSOURI AVE (N)
LARGO, FL 33770
Pharmacy Comments
Contract Details
Approval Date
1/11/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Elodie Leigh Dorso, CEO
(727) 824-8100
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
1/11/2024
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