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WAL-MART PHARMACY 10-2849
CH052270 Hopewell Health Centers, Inc.
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Covered Entity Details
Entity Name
Hopewell Health Centers, Inc.
Subdivision Name
Hopewell Health Centers - Chillicothe
Type
HRSA-Funded Health Center
340B ID
CH052270
Entity Address
1049 WESTERN AVENUE
CHILLICOTHE, OH 45601
Grant Number
H80CS00193
Participating Start Date
4/1/1996
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-2849
Pharmacy Address
320 MALLARD LANE
MASON, WV 25260
Pharmacy Comments
Contract Details
Approval Date
4/10/2012
Contract Begin Date
4/10/2012
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Mark Bridenbaugh, CEO
(740) 773-1006 Ext: 2004
Contract Pharmacy Representative
Wal--Mart
Marcus Osborne, Sales & Contracting
(479) 204-8452
Signed By Date
3/23/2012
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