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WAL-MART PHARMACY 10-2951
CHC22686-00 BARTZ-ALTADONNA COMMUNITY HEALTH CENTER
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Covered Entity Details
Entity Name
BARTZ-ALTADONNA COMMUNITY HEALTH CENTER
Subdivision Name
Bartz-Altadonna Community Health Center
Type
HRSA-Funded Health Center
340B ID
CHC22686-00
Entity Address
43322 Gingham Ave.
43322
Gingham Ave
Lancaster, CA 93535
Grant Number
H80CS22686
Participating Start Date
7/1/2012
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-2951
Pharmacy Address
1731 EAST AVENUE J
LANCASTER (E), CA 93535
Pharmacy Comments
Contract Details
Approval Date
1/22/2016
Contract Begin Date
4/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/21/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Emma Gutierrez, CEO
(661) 874-4355
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
1/22/2016
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