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WAL-MART PHARMACY 10-3412
CH030290 HAMILTON HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
HAMILTON HEALTH CENTER, INC.
Subdivision Name
HHC - South Allison Hill
Type
HRSA-Funded Health Center
340B ID
CH030290
Entity Address
110 South 17th Street
HARRISBURG, PA 17104
Grant Number
H80CS00659
Participating Start Date
4/1/2006
Last Recertification Date
3/5/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-3412
Pharmacy Address
200 KOCHER LANE
ELIZABETHVILLE, PA 17023
Pharmacy Comments
Contract Details
Approval Date
1/15/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Terese Delaplaine, President & CEO
(717) 230-3992
Contract Pharmacy Representative
Walmart
Robert Aikman, Pharmacy Manager
(717) 362-4379
Signed By Date
1/15/2024
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