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Walmart Pharmacy 10-7611
CHC24147-00 COMMUNITY HEALTH AND DENTAL CARE, INC.
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Covered Entity Details
Entity Name
COMMUNITY HEALTH AND DENTAL CARE, INC.
Subdivision Name
Community Health and Dental Care
Type
HRSA-Funded Health Center
340B ID
CHC24147-00
Entity Address
351 W Schuylkill Rd Suite G15-A
Pottstown, PA 19465
Grant Number
H80CS24147
Participating Start Date
1/1/2013
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
Walmart Pharmacy 10-7611
Pharmacy Address
2501 Perry Rd
Plainfield, IN 46168
Pharmacy Comments
Contract Details
Approval Date
1/14/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Bridget Madden, Chief Executive Officer
(610) 326-9460 Ext: 222
Contract Pharmacy Representative
Walmart
Julie Howard, 340B Program Manager
(479) 277-1498
Signed By Date
1/14/2024
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