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WAL-MART PHARMACY 10-1028
CH051833B Heartland Community Health Clinic DBA: Heartland Health Services
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Covered Entity Details
Entity Name
Heartland Community Health Clinic DBA: Heartland Health Services
Subdivision Name
Human Service Center
Type
HRSA-Funded Health Center
340B ID
CH051833B
Entity Address
228 NE Jefferson Avenue
Peoria, IL 61603
Grant Number
H80CS02457
Participating Start Date
10/1/2011
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1028
Pharmacy Address
401 RIVER ROAD
EAST PEORIA, IL 61611
Pharmacy Comments
Contract Details
Approval Date
4/22/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Dewitt Harrell, CEO
(309) 680-7657
Contract Pharmacy Representative
Walmart
Van Donn, 340B Director Contracting
(479) 273-4000
Signed By Date
4/22/2024
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