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WAL-MART PHARMACY #10-2106
CH092280 COMMUNITY HEALTH ALLIANCE
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Covered Entity Details
Entity Name
COMMUNITY HEALTH ALLIANCE
Subdivision Name
CHA Administration
Type
HRSA-Funded Health Center
340B ID
CH092280
Entity Address
680 South Rock Blvd
Reno, NV 89502
Grant Number
H80CS00539
Participating Start Date
10/1/1995
Last Recertification Date
2/25/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY #10-2106
Pharmacy Address
2425 E 2ND ST
RENO, NV 89502-1218
Pharmacy Comments
Contract Details
Approval Date
10/10/2014
Contract Begin Date
1/1/2015
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Charles Duarte, CEO
(775) 336-3017
Contract Pharmacy Representative
Walmart
Julie Howard, 340B Program Manager
(479) 277-1498
Signed By Date
10/10/2014
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