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WAL-MART PHARMACY 10-5193
CH09366F COMMUNITY HEALTH SYSTEMS, INC
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Covered Entity Details
Entity Name
COMMUNITY HEALTH SYSTEMS, INC
Subdivision Name
Moreno Valley Family Health Center
Type
HRSA-Funded Health Center
340B ID
CH09366F
Entity Address
22675 Alessandro Blvd
Moreno Valley, CA 92553
Grant Number
H80CS00222
Participating Start Date
1/1/2010
Last Recertification Date
3/4/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-5193
Pharmacy Address
12721 MORENO BEACH DRIVE
MORENO VALLEY, CA 92555
Pharmacy Comments
Contract Details
Approval Date
7/15/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Lori N. Holeman, Chief Executive Officer
(951) 571-2300
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
7/15/2024
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