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WAL-MART PHARMACY 10-1519
CH05290I COMMUNITY ACTION COMMITTEE OF PIKE COUNTY, THE
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Covered Entity Details
Entity Name
COMMUNITY ACTION COMMITTEE OF PIKE COUNTY, THE
Subdivision Name
JACKSON FAMILY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH05290I
Entity Address
14590 STATE ROUTE 93
JACKSON, OH 45640-8977
Grant Number
H80CS00399
Participating Start Date
11/7/2005
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1519
Pharmacy Address
100 WAL-MART DRIVE
JACKSON, OH 45640
Pharmacy Comments
Contract Details
Approval Date
10/8/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Keith Pitts, President and Chief Executive Officer
(216) 770-3409 Ext: 7009
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
10/8/2024
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