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WAL-MART PHARMACY 10-5997
CHC28980-00 HARMONY HEALTH MEDICAL CLINIC AND FAMILY RESOURCE CENTER
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Covered Entity Details
Entity Name
HARMONY HEALTH MEDICAL CLINIC AND FAMILY RESOURCE CENTER
Subdivision Name
Harmony Health Medical Clinic and Family Resource Center
Type
HRSA-Funded Health Center
340B ID
CHC28980-00
Entity Address
1908 N BEALE RD
Suite E
MARYSVILLE, CA 95901-6937
Grant Number
H80CS28980
Participating Start Date
4/1/2016
Last Recertification Date
2/10/2025
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
7/17/2017
Contract Begin Date
10/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Rachel Farrell, Chief Executive Officer
(530) 743-6888
Contract Pharmacy Representative
Healdsburg District Hospital
Kathi Phelps, Manager Contracting
(479) 277-3719
Signed By Date
7/17/2017
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