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WAL-MART PHARMACY 10-2664
CH03406Z PRIMARY HEALTH NETWORK, INC.
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Covered Entity Details
Entity Name
PRIMARY HEALTH NETWORK, INC.
Subdivision Name
Tri County Community Health Center
Type
HRSA-Funded Health Center
340B ID
CH03406Z
Entity Address
1555 Shawna Rd
Cherry Tree, PA 15724-9003
Grant Number
H80CS00663
Participating Start Date
10/1/2006
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-2664
Pharmacy Address
21920 ROUTE #119
PUNXSUTAWNEY, PA 15767
Pharmacy Comments
Contract Details
Approval Date
10/7/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jennie Slabe, Chief Information Officer
(724) 342-3002 Ext: 1505
Contract Pharmacy Representative
Walmart
Julie Howard, 340B Program Manager
(479) 277-1498
Signed By Date
10/7/2024
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