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WAL-MART PHARMACY 10-1028
CH051833P HEARTLAND COMMUNITY HEALTH CLINIC INC
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Covered Entity Details
Entity Name
HEARTLAND COMMUNITY HEALTH CLINIC INC
Subdivision Name
Heartland Community Health Clinic DBA: Heartland Health Services - Sheridan
Type
HRSA-Funded Health Center
340B ID
CH051833P
Entity Address
2116 N Sheridan Rd Rm 104
Peoria, IL 61604-3457
Grant Number
H80CS02457
Participating Start Date
7/1/2025
Last Recertification Date
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1028
Pharmacy Address
401 RIVER ROAD
EAST PEORIA, IL 61611
Pharmacy Comments
Contract Details
Approval Date
4/15/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Dewitt Harrell, CEO
(309) 680-7657
Contract Pharmacy Representative
Walmart
Van Donn, Director of Contracting 340b
(303) 261-5549
Signed By Date
4/14/2025
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