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WAL-MART PHARMACY 10-5315
CH070270 SWOPE HEALTH SERVICES
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Covered Entity Details
Entity Name
SWOPE HEALTH SERVICES
Subdivision Name
SWOPE HEALTH SERVICES CENTRAL
Type
HRSA-Funded Health Center
340B ID
CH070270
Entity Address
3801 Dr. Martin Luther King Jr. Blvd, Kansas City, MO 64130
Kansas City, MO 64130-2807
Grant Number
H80CS00599
Participating Start Date
12/1/1992
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-5315
Pharmacy Address
2354 COMMERCE PARK DR.
ORLANDO, FL 32819
Pharmacy Comments
Contract Details
Approval Date
7/13/2017
Contract Begin Date
10/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/18/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Dave Barber, PRESIDENT/CEO
(816) 599-5550
Contract Pharmacy Representative
Healdsburg District Hospital
Kathi Phelps, Manager Contracting
(479) 277-3719
Signed By Date
7/13/2017
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