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WALMART PHARMACY 10-3151
CH072110 Charles Drew Health Center, Inc
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Covered Entity Details
Entity Name
Charles Drew Health Center, Inc
Subdivision Name
Charles Drew Health Center, Inc.
Type
HRSA-Funded Health Center
340B ID
CH072110
Entity Address
2915 Grant St
Omaha, NE 68111-3863
Grant Number
H80CS00438
Participating Start Date
4/1/1996
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
WALMART PHARMACY 10-3151
Pharmacy Address
5018 AMES AVE
OMAHA, NE 68104
Pharmacy Comments
Contract Details
Approval Date
1/31/2017
Contract Begin Date
4/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kenny Mcmorris, CEO
(402) 457-1245
Contract Pharmacy Representative
Healdsburg District Hospital
Kathi Phelps, Manager Contracting
(479) 277-3719
Signed By Date
1/31/2017
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