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WAL-MART PHARMACY 10-1268
HV00816E Robeson Health Care Corporation
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Covered Entity Details
Entity Name
Robeson Health Care Corporation
Subdivision Name
Montgomery Health Center
Type
Ryan White Part C
340B ID
HV00816E
Entity Address
103 Cotton Creek Road
Star, NC 27356-7343
Grant Number
H76HA00816
Participating Start Date
4/1/2013
Last Recertification Date
2/9/2022
Entity Termination Date
4/1/2023
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1268
Pharmacy Address
200 COLUMBUS CORNERS DR
WHITEVILLE, NC 28472
Pharmacy Comments
Contract Details
Approval Date
1/1/2015
Contract Begin Date
4/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2023
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Thomas E. Manynor II, Deputy President and CEO
(910) 521-2900 Ext: 104
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
1/1/2015
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