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WAL-MART PHARMACY 10-5159
CH052250 STERLING AREA HEALTH CENTER
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Covered Entity Details
Entity Name
STERLING AREA HEALTH CENTER
Subdivision Name
STERLING AREA HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH052250
Entity Address
725 E State St
Sterling, MI 48659-9548
Grant Number
H80CS00756
Participating Start Date
12/1/1992
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-5159
Pharmacy Address
2750 COOK RD
WEST BRANCH, MI 48661
Pharmacy Comments
Contract Details
Approval Date
1/12/2018
Contract Begin Date
4/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
James John Balten Jr, President & CEO
(989) 654-2072 Ext: 3750
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
1/12/2018
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