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WAL-MART PHARMACY 10-2705
CHC00352-00 HORIZON HEALTH SERVICES INC
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Covered Entity Details
Entity Name
HORIZON HEALTH SERVICES INC
Subdivision Name
WAVERLY MEDICAL CENTER
Type
HRSA-Funded Health Center
340B ID
CHC00352-00
Entity Address
344 W. Main St
Waverly, VA 23890
Grant Number
H80CS00352
Participating Start Date
1/1/2016
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-2705
Pharmacy Address
1500 ARMORY DRIVE
FRANKLIN, VA 23851
Pharmacy Comments
Contract Details
Approval Date
7/12/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kim Sadler, CEO
(757) 859-5015
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
7/12/2024
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