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WAL-MART PHARMACY 10-0364
CHC12850-00 Health Opportunities For The People Of East Texas Inc
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Covered Entity Details
Entity Name
Health Opportunities For The People Of East Texas Inc
Subdivision Name
The Hope Project, Inc.
Type
HRSA-Funded Health Center
340B ID
CHC12850-00
Entity Address
157 Wall Street
Tenaha, TX 75974-0157
Grant Number
H80CS12850
Participating Start Date
7/1/2014
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0364
Pharmacy Address
765 HURST ST
CENTER, TX 75935-3415
Pharmacy Comments
Contract Details
Approval Date
7/1/2014
Contract Begin Date
10/1/2014
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
JEAN DIEBOLT, CEO
(936) 248-4648
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
7/1/2014
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