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WALMART PHARMACY 10-3084
CH090720 NORTH COUNTY HEALTH PROJECT, INC
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Covered Entity Details
Entity Name
NORTH COUNTY HEALTH PROJECT, INC
Subdivision Name
TrueCare
Type
HRSA-Funded Health Center
340B ID
CH090720
Entity Address
150 Valpreda Road
San Marcos, CA 92069-2973
Grant Number
H80CS00228
Participating Start Date
12/1/1992
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WALMART PHARMACY 10-3084
Pharmacy Address
1266 E VALLEY PKWY
ESCONDIDO, CA 92027
Pharmacy Comments
Contract Details
Approval Date
11/2/2017
Contract Begin Date
1/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Patrick Tellez, CMO
(760) 736-8689
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
11/2/2017
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