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WAL-MART PHARMACY 10-1293
CHC24172-03 CHRIST COMMUNITY HEALTH SERVICES AUGUSTA, INC.
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Covered Entity Details
Entity Name
CHRIST COMMUNITY HEALTH SERVICES AUGUSTA, INC.
Subdivision Name
Christ Community Health: Medical District CHC (Pediatrics)
Type
HRSA-Funded Health Center
340B ID
CHC24172-03
Entity Address
1238 D'Antignac
Augusta, GA 30901-2788
Grant Number
H80CS24172
Participating Start Date
7/1/2022
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1293
Pharmacy Address
3209 DEANS BRIDGE RD
AUGUSTA, GA 30906
Pharmacy Comments
Contract Details
Approval Date
1/16/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Don Branum, CEO
(419) 341-0715
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
1/16/2024
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