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Walmart Pharmacy 10-7611
FQHCLA411D HAPPI HEALTH
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Covered Entity Details
Entity Name
HAPPI HEALTH
Subdivision Name
HAPPI Health-St. Clair
Type
Health Center Program Look-Alike
340B ID
FQHCLA411D
Entity Address
115 Saint Clair Ave SE
Huntsville, AL 35801-4343
Grant Number
LALCS33898
Participating Start Date
7/1/2023
Last Recertification Date
3/10/2025
Pharmacy Details
Pharmacy Name
Walmart Pharmacy 10-7611
Pharmacy Address
2501 Perry Rd
Plainfield, IN 46168
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
Michelda Johnson, CEO
(256) 836-0853
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
4/15/2025
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