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WAL-MART PHARMACY 10-1422
CHC28352-00 ISABELLA CITIZENS FOR HEALTH, INC.
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Covered Entity Details
Entity Name
ISABELLA CITIZENS FOR HEALTH, INC.
Subdivision Name
Isabella Citizens for Health
Type
HRSA-Funded Health Center
340B ID
CHC28352-00
Entity Address
2940 Health Pkwy
Mount Pleasant, MI 48858-9342
Grant Number
H80CS28352
Participating Start Date
4/1/2016
Last Recertification Date
2/4/2019
Entity Termination Date
4/1/2020
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1422
Pharmacy Address
7700 N ALGER RD
ALMA, MI 48801
Pharmacy Comments
Contract Details
Approval Date
7/17/2017
Contract Begin Date
10/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/22/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Jennifer White, Chief Executive Officer
(989) 953-5191 Ext: 1
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
7/17/2017
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