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WAL-MART PHARMACY 10-5997
CH05903F COMMUNITY HEALTH SYSTEMS INC
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Covered Entity Details
Entity Name
COMMUNITY HEALTH SYSTEMS INC
Subdivision Name
Beloit Area Community Health Center
Type
HRSA-Funded Health Center
340B ID
CH05903F
Entity Address
74 Eclipse Ctr
Beloit, WI 53511-3550
Grant Number
H80CS00676
Participating Start Date
1/1/2016
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-5997
Pharmacy Address
9600 PARKSOUTH CT. SUITE 100
ORLANDO, FL 32837
Pharmacy Comments
Contract Details
Approval Date
1/11/2017
Contract Begin Date
4/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/11/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
JULIE SPRECHER, CEO
(608) 313-3362
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
1/11/2017
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