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Walmart Pharmacy 10-7611
CH04411J UNITED NEIGHBORHOOD HEALTH SERVICES
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Covered Entity Details
Entity Name
UNITED NEIGHBORHOOD HEALTH SERVICES
Subdivision Name
DOWNTOWN MOBILE CLINIC
Type
HRSA-Funded Health Center
340B ID
CH04411J
Entity Address
617 S. 8th St.
NASHVILLE, TN 37206
Grant Number
H80CS00394
Participating Start Date
4/1/2009
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
Walmart Pharmacy 10-7611
Pharmacy Address
2501 Perry Rd
Plainfield, IN 46168
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
Mary Bufwack, CEO
(615) 227-3000 Ext: 1024
Contract Pharmacy Representative
Walmart
Julie Howard, 340B Program Manager
(479) 277-1498
Signed By Date
1/15/2024
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