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WAL-MART PHARMACY 10-1458
CH04479H Primary Health Care Center Of Dade, Inc.
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Covered Entity Details
Entity Name
Primary Health Care Center Of Dade, Inc.
Subdivision Name
Primary Healthcare Center Abbington at Linwood
Type
HRSA-Funded Health Center
340B ID
CH04479H
Entity Address
10 Probasco St # 214
La Fayette, GA 30728-2316
Grant Number
H80CS00649
Participating Start Date
7/1/2021
Last Recertification Date
3/5/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1458
Pharmacy Address
3040 BATTLEFIELD PKWY
FORT OGLETHORPE, GA 30742
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
DIANA U. ALLEN, CEO
(706) 620-4494 Ext: 8549
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
1/16/2024
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