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WALMART PHARMACY #10-6190
STD339011 The McGregor Clinic, Inc.
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Covered Entity Details
Entity Name
The McGregor Clinic, Inc.
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD339011
Entity Address
3487 Broadway
Fort Myers, FL 33901
Grant Number
NH25PS005131
Participating Start Date
7/1/2018
Last Recertification Date
6/2/2025
Pharmacy Details
Pharmacy Name
WALMART PHARMACY #10-6190
Pharmacy Address
1951 W HICKPOCHEE AVE
LABELLE, FL 33935
Pharmacy Comments
Contract Details
Approval Date
4/2/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
SUSAN GERALD, Chief Operations Officer
(239) 334-9555 Ext: 8019
Contract Pharmacy Representative
Walmart
Julie Howard, 340B Program Manager
(479) 277-1498
Signed By Date
4/2/2024
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