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WAL-MART PHARMACY 10-2201
CH066580 Centro San Vicente
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Covered Entity Details
Entity Name
Centro San Vicente
Subdivision Name
None
Type
HRSA-Funded Health Center
340B ID
CH066580
Entity Address
8061 Alameda Ave
El Paso, TX 79915-4705
Grant Number
H80CS00637
Participating Start Date
10/1/1995
Last Recertification Date
3/4/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-2201
Pharmacy Address
7101 GATEWAY BLVD WEST
(C)
EL PASO, TX 79925
Pharmacy Comments
Contract Details
Approval Date
4/15/2016
Contract Begin Date
7/1/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jose Luna, CEO
(915) 859-7545 Ext: 1215
Contract Pharmacy Representative
Wal-Mart
Marcus Osbourne, VP of Health and Wellness Transformation
(479) 204-9374
Signed By Date
4/15/2016
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