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WAL-MART PHARMACY 10-2010
CHC08752-00 LAKELAND IMMEDIATE CARE CENTER
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Covered Entity Details
Entity Name
LAKELAND IMMEDIATE CARE CENTER
Subdivision Name
DBA CASS FAMILY CLINIC
Type
HRSA-Funded Health Center
340B ID
CHC08752-00
Entity Address
261 M-62
Cassopolis, MI 49031-1034
Grant Number
H80CS08752
Participating Start Date
4/1/2010
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-2010
Pharmacy Address
2107 S 11TH ST
NILES, MI 49120
Pharmacy Comments
Contract Details
Approval Date
7/13/2017
Contract Begin Date
10/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
MARY GEEGAN MIDDLETON, Chief Executive Officer
(269) 445-3874 Ext: 109
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
7/13/2017
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