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WAL-MART PHARMACY 10-0758
CH04334G CareConnect Health, Inc.
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Covered Entity Details
Entity Name
CareConnect Health, Inc.
Subdivision Name
CareConnect Urgent Care
Type
HRSA-Funded Health Center
340B ID
CH04334G
Entity Address
602 E 16th Ave
Suite B
Cordele, GA 31015-1782
Grant Number
H80CS00393
Participating Start Date
1/1/2010
Last Recertification Date
2/7/2023
Entity Termination Date
1/1/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0758
Pharmacy Address
1711 E LAMAR ST STE F
AMERICUS, GA 31709
Pharmacy Comments
Contract Details
Approval Date
1/7/2014
Contract Begin Date
4/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Ajay Gehlot, CEO
(229) 273-8881
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
1/7/2014
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