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WAL-MART PHARMACY 10-3380
CH101520 TRI-CITIES COMMUNITY HEALTH
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Covered Entity Details
Entity Name
TRI-CITIES COMMUNITY HEALTH
Subdivision Name
TCCH Pasco-Medical, Pharmacy & Optometry
Type
HRSA-Funded Health Center
340B ID
CH101520
Entity Address
515 W Court St
Pasco, WA 99301-3737
Grant Number
H80CS00498
Participating Start Date
7/1/1996
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-3380
Pharmacy Address
4820 NORTH ROAD 68
PASCO, WA 99301
Pharmacy Comments
Contract Details
Approval Date
10/4/2017
Contract Begin Date
1/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ralph Hill, CEO
(509) 543-1934 Ext: 1934
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
10/4/2017
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