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WAL-MART CENTRAL FILL 10-2670
CHC11427-00 Matagorda Episcopal Health Outreach Program
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Covered Entity Details
Entity Name
Matagorda Episcopal Health Outreach Program
Subdivision Name
MEHOP Administration and Outreach
Type
HRSA-Funded Health Center
340B ID
CHC11427-00
Entity Address
101 Ave F N
Bay City, TX 77414-3144
Grant Number
H80CS12889
Participating Start Date
1/1/2010
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
WAL-MART CENTRAL FILL 10-2670
Pharmacy Address
608 SPRING HILL DR # 3 SUITE 300
SPRING, TX 77386
Pharmacy Comments
Contract Details
Approval Date
1/10/2017
Contract Begin Date
4/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Eve Chen, CFO
(979) 245-2008 Ext: 300
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
1/10/2017
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