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WAL-MART PHARMACY 10-2457
CHC12872-00 WellSpace Health
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Covered Entity Details
Entity Name
WellSpace Health
Subdivision Name
J Street Community Health Center
Type
HRSA-Funded Health Center
340B ID
CHC12872-00
Entity Address
1820 J Street
Sacramento, CA 95811-3010
Grant Number
H80CS12872
Participating Start Date
7/1/2018
Last Recertification Date
3/7/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-2457
Pharmacy Address
10655 FOLSOM BLVD.
RANCHO CORDOVA, CA 95670
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
Alasdair Jonathan Porteus, CEO
(916) 550-5444
Contract Pharmacy Representative
Walmart
Daniel Hubbard, Director Merchandise Execution, 340B Program
(479) 903-0288
Signed By Date
4/15/2025
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