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WAL-MART PHARMACY 10-5477
CHC08748-00 COMMUNITY HEALTH CENTER OF CENTRAL MISSOURI
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Covered Entity Details
Entity Name
COMMUNITY HEALTH CENTER OF CENTRAL MISSOURI
Subdivision Name
Jefferson City Clinic
Type
HRSA-Funded Health Center
340B ID
CHC08748-00
Entity Address
3400 W Truman Blvd
Jefferson City, MO 65109-5712
Grant Number
H80CS08748
Participating Start Date
1/1/2011
Last Recertification Date
2/9/2018
Entity Termination Date
10/1/2018
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-5477
Pharmacy Address
401 SUPERCENTER DR.
JEFFERSON CITY, MO 65101
Pharmacy Comments
Contract Details
Approval Date
8/17/2012
Contract Begin Date
8/17/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2018
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Mark Conover, Chief Operations Officer
(573) 632-0243 Ext: 105
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
7/25/2012
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