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WALMART PHARMACY 10-5125
CH0610680 INNIS COMMUNITY HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
INNIS COMMUNITY HEALTH CENTER, INC.
Subdivision Name
INNIS COMMUNITY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH0610680
Entity Address
6450 LA HIGHWAY 1 STE B
INNIS, LA 70747-0889
Grant Number
H80CS00855
Participating Start Date
1/1/2004
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
WALMART PHARMACY 10-5125
Pharmacy Address
2310 S UNION STREET
OPELOUSAS, LA 70570
Pharmacy Comments
Contract Details
Approval Date
1/16/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2024
Agreement registered in error
Contacts
Covered Entity Signing Official
cindy peavy, Executive Director
(225) 235-9627
Contract Pharmacy Representative
Walmart
Julie Howard, 340B Program Manager
(479) 277-1498
Signed By Date
1/16/2024
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