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WAL-MART PHARMACY 10-5315
CH010450 ISLANDS COMMUNITY MEDICAL SERVICES, INC.
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Covered Entity Details
Entity Name
ISLANDS COMMUNITY MEDICAL SERVICES, INC.
Subdivision Name
ISLANDS COMMUNITY MEDICAL SERVICES
Type
HRSA-Funded Health Center
340B ID
CH010450
Entity Address
15 MEDICAL CENTER LOOP
VINALHAVEN, ME 04863-4104
Grant Number
H80CS06657
Participating Start Date
10/1/2004
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-5315
Pharmacy Address
2354 COMMERCE PARK DR.
ORLANDO, FL 32819
Pharmacy Comments
Contract Details
Approval Date
10/15/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Cameron Garrett, Executive Director
(207) 863-4341 Ext: 1110
Contract Pharmacy Representative
Walmart
Christian Nava, Senior Manager, Program Development-340B
(210) 632-0647
Signed By Date
10/15/2024
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