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WAL-MART PHARMACY 10-5997
CH090830 SANTA BARBARA COUNTY HEALTH CARE
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Covered Entity Details
Entity Name
SANTA BARBARA COUNTY HEALTH CARE
Subdivision Name
SANTA BARBARA COUNTY PUBLIC HEALTH DEPARTMENT
Type
HRSA-Funded Health Center
340B ID
CH090830
Entity Address
345 Camino del Remedio
SANTA BARBARA, CA 93110-1332
Grant Number
H80CS00046
Participating Start Date
12/1/1992
Last Recertification Date
3/5/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-5997
Pharmacy Address
9600 PARKSOUTH CT. SUITE 100
ORLANDO, FL 32837
Pharmacy Comments
Contract Details
Approval Date
1/12/2017
Contract Begin Date
4/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Dana Gamble, Asst. Deputy Director
(805) 681-5171
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
1/12/2017
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