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WAL-MART PHARMACY 10-1048
CH044090 HealthPoint Family Care, Inc.
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Covered Entity Details
Entity Name
HealthPoint Family Care, Inc.
Subdivision Name
HealthPoint Covington
Type
HRSA-Funded Health Center
340B ID
CH044090
Entity Address
1401 Madison Ave
Covington, KY 41011-3313
Grant Number
H80CS00422
Participating Start Date
4/1/1997
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1048
Pharmacy Address
589 HIGHWAY WEST 92
WILLIAMSBURG, KY 40769
Pharmacy Comments
Contract Details
Approval Date
4/7/2016
Contract Begin Date
7/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/27/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
CHRIS GODDARD, CEO
(859) 655-6136
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
4/7/2016
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