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WAL-MART PHARMACY 10-0260
CHC11426-00 ELLIS COUNTY COALITION FOR HEALTH OPTIONS
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Covered Entity Details
Entity Name
ELLIS COUNTY COALITION FOR HEALTH OPTIONS
Subdivision Name
Hope Health
Type
HRSA-Funded Health Center
340B ID
CHC11426-00
Entity Address
572 Coleman Street
Waxahachie, TX 75165-3827
Grant Number
H80CS12874
Participating Start Date
7/1/2009
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0260
Pharmacy Address
1200 N. HIGHWAY 77
WAXAHACHIE, TX 75165
Pharmacy Comments
Contract Details
Approval Date
1/15/2016
Contract Begin Date
4/1/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Barbara Clark, CEO
(972) 923-2440 Ext: 201
Contract Pharmacy Representative
Marc Osbourne, President
(903) 508-6127
Signed By Date
1/15/2016
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