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WAL-MART PHARMACY #10-4189
CH041960 ALABAMA REGIONAL MEDICAL SERVICES
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Covered Entity Details
Entity Name
ALABAMA REGIONAL MEDICAL SERVICES
Subdivision Name
METRO HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH041960
Entity Address
712 25TH STREET NORTH
BIRMINGHAM, AL 35203
Grant Number
H80CS00020
Participating Start Date
7/1/1995
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY #10-4189
Pharmacy Address
335 HELENA MARKETPLACE
HELENA, AL 35080
Pharmacy Comments
Contract Details
Approval Date
10/17/2017
Contract Begin Date
1/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/1/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Anthony Gardner, CEO
(205) 212-5653
Contract Pharmacy Representative
Healdsburg District Hospital
Kathi Phelps, Manager Contracting
(479) 277-3719
Signed By Date
10/17/2017
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