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WAL-MART PHARMACY 10-1711
CHC26588-00 CHRIST HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
CHRIST HEALTH CENTER, INC.
Subdivision Name
CHC - Woodlawn
Type
HRSA-Funded Health Center
340B ID
CHC26588-00
Entity Address
5720 1st Ave S
Birmingham, AL 35212-2522
Grant Number
H80CS26588
Participating Start Date
7/1/2014
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1711
Pharmacy Address
1600 MONTCLAIR RD
BIRMINGHAM, AL 35210
Pharmacy Comments
Contract Details
Approval Date
1/24/2017
Contract Begin Date
4/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/4/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Mike Benedict, COO
(205) 380-9436
Contract Pharmacy Representative
Walmart
Julie Howard, 340B Program Manager
(479) 277-1498
Signed By Date
1/24/2017
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