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WAL-MART PHARMACY 10-1495
CHC12892-00 ROCKING HORSE CENTER
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Covered Entity Details
Entity Name
ROCKING HORSE CENTER
Subdivision Name
Type
HRSA-Funded Health Center
340B ID
CHC12892-00
Entity Address
651 SOUTH LIMESTONE STREET
SPRINGFIELD, OH 45505
Grant Number
H80CS12892
Participating Start Date
7/1/2009
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1495
Pharmacy Address
7680 BRANDT PIKE
HUBER HEIGHTS, OH 45424
Pharmacy Comments
Contract Details
Approval Date
1/6/2016
Contract Begin Date
4/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Chris Cook, CEO
(937) 324-1111 Ext: 190
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
1/6/2016
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