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WAL-MART STORES EAST, LP
CHC00295-00 HEALTHFIRST FAMILY CARE CENTER, Inc.
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Covered Entity Details
Entity Name
HEALTHFIRST FAMILY CARE CENTER, Inc.
Subdivision Name
HEALTH FIRST FAMILY CARE CENTER
Type
HRSA-Funded Health Center
340B ID
CHC00295-00
Entity Address
841 Central St
Franklin, NH 03235-2026
Grant Number
H80CS00295
Participating Start Date
7/1/2010
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WAL-MART STORES EAST, LP
Pharmacy Address
DBA WALMART PHARMACY 10-2639
1458 LAKE SHORE ROAD
GILFORD, NH 03249
Pharmacy Comments
Contract Details
Approval Date
10/11/2016
Contract Begin Date
1/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ted Bolognani, CFO
(603) 934-0177 Ext: 115
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
10/11/2016
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