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WAL-MART PHARMACY 10-5172
CH04038AA NORTH FLORIDA MEDICAL CENTERS, INC.
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Covered Entity Details
Entity Name
NORTH FLORIDA MEDICAL CENTERS, INC.
Subdivision Name
North Florida Medical - Perry
Type
HRSA-Funded Health Center
340B ID
CH04038AA
Entity Address
1850 South Byron Butler Parkway
PERRY, FL 32348-4115
Grant Number
H80CS00693
Participating Start Date
10/1/2013
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-5172
Pharmacy Address
1900 SOUTH JEFFERSON ST
PERRY, FL 32348
Pharmacy Comments
Contract Details
Approval Date
5/16/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Tori Wiggins, CFO
(850) 298-6040
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
5/16/2024
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