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WAL-MART PHARMACY 10-0103
CH060530 Community Health Centers Inc.
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Covered Entity Details
Entity Name
Community Health Centers Inc.
Subdivision Name
COMMUNITY HEALTH CENTERS, INC.
Type
HRSA-Funded Health Center
340B ID
CH060530
Entity Address
12716 N.E. 36TH STREET
OKLAHOMA CITY, OK 73140-3589
Grant Number
H80CS00320
Participating Start Date
10/1/2017
Last Recertification Date
3/5/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0103
Pharmacy Address
196 SHAWNEE MALL DR
SHAWNEE, OK 74804
Pharmacy Comments
Contract Details
Approval Date
10/22/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Isabella Lawson, Chief Executive Officer
(405) 769-3301 Ext: 1232
Contract Pharmacy Representative
Walmart
Christian Nava, Senior Manager, Program Development-340B
(210) 632-0647
Signed By Date
10/22/2024
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