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WAL-MART PHARMACY 10-2641
FQHCLA431M VALLEY HEALTH PARTNERS COMMUNITY HEALTH CENTER
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Covered Entity Details
Entity Name
VALLEY HEALTH PARTNERS COMMUNITY HEALTH CENTER
Subdivision Name
VHP Community Smiles at 6th Street
Type
Health Center Program Look-Alike
340B ID
FQHCLA431M
Entity Address
101 N 6th St
STE 310
Allentown, PA 18101
Grant Number
LALCS45056
Participating Start Date
10/1/2023
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-2641
Pharmacy Address
1091 MILLCREEK ROAD
ALLENTOWN, PA 18106
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
Veronica Gonzalez, Chief Executive Officer
(610) 969-2728
Contract Pharmacy Representative
Walmart
Van Donn, Director of Contracting 340b
(303) 261-5549
Signed By Date
1/11/2024
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