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WAL-MART PHARMACY 10-0214
CH061730 GULF COAST HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
GULF COAST HEALTH CENTER, INC.
Subdivision Name
GULF COAST HEALTH CENTER, INC. - PORT ARTHUR
Type
HRSA-Funded Health Center
340B ID
CH061730
Entity Address
2548 Memorial Blvd
Port Arthur, TX 77640-2825
Grant Number
H80CS00408
Participating Start Date
7/1/1997
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0214
Pharmacy Address
800 W. GIBSON
JASPER, TX 75951
Pharmacy Comments
Contract Details
Approval Date
4/17/2017
Contract Begin Date
7/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/1/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Marsha E. Thigpen, Executive Director
(409) 983-1161 Ext: 880
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
4/17/2017
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