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WAL-MART CENTRAL FILL 10-2670
CH081849F Southwest Utah Community Health Center, Inc.
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Covered Entity Details
Entity Name
Southwest Utah Community Health Center, Inc.
Subdivision Name
Family Healthcare Zion Canyon Clinic
Type
HRSA-Funded Health Center
340B ID
CH081849F
Entity Address
120 Lion Blvd
Springdale, UT 84767-7724
Grant Number
H80CS07890
Participating Start Date
4/1/2024
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WAL-MART CENTRAL FILL 10-2670
Pharmacy Address
608 SPRING HILL DR # 3 SUITE 300
SPRING, TX 77386
Pharmacy Comments
Contract Details
Approval Date
10/9/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Lori Wright, CEO
(435) 879-5101
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
10/9/2024
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