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WAL-MART PHARMACY 10-1033
CH05311Y INDIANA HEALTH CENTERS
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Covered Entity Details
Entity Name
INDIANA HEALTH CENTERS
Subdivision Name
IHC Bedford
Type
HRSA-Funded Health Center
340B ID
CH05311Y
Entity Address
2415 Mitchell Road STE C
Bedford, IN 47421
Grant Number
H80CS00668
Participating Start Date
7/1/2023
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1033
Pharmacy Address
1600 E TIPTON ST
SEYMOUR, IN 47274
Pharmacy Comments
Contract Details
Approval Date
4/3/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Nicole Meyer, COO
(317) 576-1335 Ext: 4137
Contract Pharmacy Representative
Walmart
Julie Howard, 340b Program Manager
(479) 739-1973 Ext: 4792771498
Signed By Date
4/3/2024
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