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WAL-MART PHARMACY 10-2889
CH07117AD COMMUNITY HEALTH CARE, INC.
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Covered Entity Details
Entity Name
COMMUNITY HEALTH CARE, INC.
Subdivision Name
Community Health Care Inc. Outreach Clinic
Type
HRSA-Funded Health Center
340B ID
CH07117AD
Entity Address
902 W 4th St
Davenport, IA 52802
Grant Number
H80CS00670
Participating Start Date
7/1/2024
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-2889
Pharmacy Address
2715 SO. 25TH STREET
CLINTON, IA 52732
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
Tom Bowman, CEO
(563) 336-3000 Ext: 3112
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
7/11/2024
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