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WAL-MART PHARMACY 10-4231
CH05848D NEIGHBORHOOD HEALTH CLINICS
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Covered Entity Details
Entity Name
NEIGHBORHOOD HEALTH CLINICS
Subdivision Name
Neighborhood Health Family Medicine Center
Type
HRSA-Funded Health Center
340B ID
CH05848D
Entity Address
750 Broadway STE 350
Fort Wayne, IN 46802-1412
Grant Number
H80CS00548
Participating Start Date
7/1/2024
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-4231
Pharmacy Address
7502 SOUTHTOWN CROSSING
FORT WAYNE, IN 46816
Pharmacy Comments
Contract Details
Approval Date
7/11/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Angela Zaegel, CEO
(260) 458-2641 Ext: 3634
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
7/11/2024
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