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WAL-MART PHARMACY 10-3533
FQHCLA484 UPTOWN COMMUNITY HEALTH CENTER INC
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Covered Entity Details
Entity Name
UPTOWN COMMUNITY HEALTH CENTER INC
Subdivision Name
Uptown Community Health Center, Inc. Administration
Type
Health Center Program Look-Alike
340B ID
FQHCLA484
Entity Address
1960 N Ogden St, Ste 300
Denver, CO 80218-3674
Grant Number
LALCS54746
Participating Start Date
7/1/2025
Last Recertification Date
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-3533
Pharmacy Address
7800 EAST SMITH ROAD
DENVER, CO 80207
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
Cherise Callighan, CEO
(303) 318-2505
Contract Pharmacy Representative
Walmart
Daniel Hubbard, Director Merchandise Execution, 340B Program
(479) 903-0288
Signed By Date
4/15/2025
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