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WAL-MART PHARMACY 10-1617
CH086120 COMMUNITY HEALTH CENTER OF CENTRAL WYOMING, INC.
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Covered Entity Details
Entity Name
COMMUNITY HEALTH CENTER OF CENTRAL WYOMING, INC.
Subdivision Name
Community Health Center of Central Wyoming
Type
HRSA-Funded Health Center
340B ID
CH086120
Entity Address
5000 Blackmore Road
Casper, WY 82609
Grant Number
H80CS00564
Participating Start Date
1/1/2001
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1617
Pharmacy Address
4400 EAST 2ND STREET
CASPER, WY 82609
Pharmacy Comments
Contract Details
Approval Date
10/16/2017
Contract Begin Date
1/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Cole White, CEO
(307) 233-6000
Contract Pharmacy Representative
Healdsburg District Hospital
Kathi Phelps, Manager Contracting
(479) 277-3719
Signed By Date
10/16/2017
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