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WAL-MART PHARMACY 10-1882
CH09056S United Health Centers of The San Joaquin Valley
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Covered Entity Details
Entity Name
United Health Centers of The San Joaquin Valley
Subdivision Name
United Health Centers--Selma Rose Health Center
Type
HRSA-Funded Health Center
340B ID
CH09056S
Entity Address
1201 Rose Ave
Selma, CA 93662-3227
Grant Number
H80CS00137
Participating Start Date
10/1/2019
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1882
Pharmacy Address
3400 FLORAL AVE
SELMA, CA 93662
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
Navjot Singh, Contracting & Managed Care Officer
(559) 646-6618 Ext: 0039
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
7/15/2024
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