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WAL-MART PHARMACY 10-1925
CH1014200 LINCOLN, COUNTY OF
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Covered Entity Details
Entity Name
LINCOLN, COUNTY OF
Subdivision Name
LINCOLN COUNTY HEALTH AND HUMAN SERVICES
Type
HRSA-Funded Health Center
340B ID
CH1014200
Entity Address
36 SW Nye St
Newport, OR 97365-3821
Grant Number
H80CS06639
Participating Start Date
4/1/2006
Last Recertification Date
3/6/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1925
Pharmacy Address
160 NW 25TH STREET
NEWPORT, OR 97365
Pharmacy Comments
Contract Details
Approval Date
1/8/2025
Contract Begin Date
4/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jayne Leigh Romero, Health and Human Services Director
(541) 265-0400
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
1/8/2025
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