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WAL-MART PHARMACY 10-2739
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
WAL-MART PHARMACY 10-2739
Pharmacy Address
701 MCMEANS AVENUE
BAY MINETTE, AL 36507
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
Healdsburg District Hospital
Kathi Phelps, Manager Contracting
(479) 277-3719
Signed By Date
4/25/2017
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