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WAL-MART PHARMACY 10-1103
CHC26586-00 Bee Busy Wellness Center
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Covered Entity Details
Entity Name
Bee Busy Wellness Center
Subdivision Name
Bee Busy Wellness Center
Type
HRSA-Funded Health Center
340B ID
CHC26586-00
Entity Address
8785 W Bellfort ST
Houston, TX 77031-2403
Grant Number
H80CS26586
Participating Start Date
7/1/2014
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1103
Pharmacy Address
3450 FM 1960 WEST
HOUSTON(CONERSTONE), TX 77068
Pharmacy Comments
Contract Details
Approval Date
4/14/2016
Contract Begin Date
7/1/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Norman Mitchell, CEO
(713) 771-2292
Contract Pharmacy Representative
Wal-Mart
Marcus Osbourne, VP of Health and Wellness Transformation
(479) 204-9374
Signed By Date
4/14/2016
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