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WALMART PHARMACY #10-6173
CH044710 FRANKLIN PRIMARY HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
FRANKLIN PRIMARY HEALTH CENTER, INC.
Subdivision Name
FRANKLIN MEDICAL MALL
Type
HRSA-Funded Health Center
340B ID
CH044710
Entity Address
1303 DR. MARTIN LUTHER KING
MOBILE, AL 36603-5398
Grant Number
H80CS00099
Participating Start Date
1/1/1994
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
WALMART PHARMACY #10-6173
Pharmacy Address
21141 STATE HWY 59
ROBERTSDALE, AL 36567
Pharmacy Comments
Contract Details
Approval Date
4/25/2017
Contract Begin Date
7/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Charles White, Chief Executive Officer
(251) 434-8188
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
4/25/2017
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