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WAL-MART PHARMACY 10-3502
CHC08753-00 BUTLER COUNTY COMMUNITY HEALTH CONSORTIUM, INC.
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Covered Entity Details
Entity Name
BUTLER COUNTY COMMUNITY HEALTH CONSORTIUM, INC.
Subdivision Name
Hamilton Community Health Center
Type
HRSA-Funded Health Center
340B ID
CHC08753-00
Entity Address
210 South Second Street
Hamilton, OH 45011
Grant Number
H80CS08753
Participating Start Date
4/1/2006
Last Recertification Date
2/21/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-3502
Pharmacy Address
3201 PRINCETON ROAD
HAMILTON, OH 45011
Pharmacy Comments
Contract Details
Approval Date
4/14/2017
Contract Begin Date
7/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/14/2023
Covered Entity Terminated
Contacts
Covered Entity Signing Official
MARC BELLISARIO, CEO/EXECUTIVE DIRECTOR
(513) 454-1459
Contract Pharmacy Representative
Walmart
Julie Howard, 340B Program Manager
(479) 277-1498
Signed By Date
4/14/2017
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