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WAL-MART PHARMACY 10-5446
CH03309L CORNERSTONE CARE, INC.
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Covered Entity Details
Entity Name
CORNERSTONE CARE, INC.
Subdivision Name
Cornerstone Care Community Dental Center of Uniontown
Type
HRSA-Funded Health Center
340B ID
CH03309L
Entity Address
140 N Beeson Ave Ste 400
Uniontown, PA 15401-2937
Grant Number
H80CS00401
Participating Start Date
7/1/2010
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-5446
Pharmacy Address
405 MURTHA DRIVE
WAYNESBURG, PA 15370
Pharmacy Comments
Contract Details
Approval Date
10/14/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Nicole M. Coneybeer, Pharmacy Program Administrator
(724) 324-9001 Ext: 1783
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
10/14/2024
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