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Walmart Pharmacy 10-7611
CHC26594-00 HEALTH EDUCATION, ASSESSMENT AND LEADERSHIP, INC.
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Covered Entity Details
Entity Name
HEALTH EDUCATION, ASSESSMENT AND LEADERSHIP, INC.
Subdivision Name
HEALing Community Center
Type
HRSA-Funded Health Center
340B ID
CHC26594-00
Entity Address
3915 Cascade Road SW Suite T90
Atlanta, GA 30331-0522
Grant Number
H80CS26594
Participating Start Date
10/1/2015
Last Recertification Date
2/26/2025
Pharmacy Details
Pharmacy Name
Walmart Pharmacy 10-7611
Pharmacy Address
2501 Perry Rd
Plainfield, IN 46168
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
Donald Eugene Usher, Chief Executive Officer
(404) 564-7749
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
7/15/2024
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