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WAL-MART PHARMACY 10-0991
CH047080 MOBILE COUNTY BOARD OF HEALTH
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Covered Entity Details
Entity Name
MOBILE COUNTY BOARD OF HEALTH
Subdivision Name
FAMILY ORIENTED PRIMARY HEALTH CARE CLIN
Type
HRSA-Funded Health Center
340B ID
CH047080
Entity Address
251 N Bayou St
Mobile, AL 36603-5827
Grant Number
H80CS00318
Participating Start Date
12/1/1992
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0991
Pharmacy Address
101 SOUTH BELTLINE HIGHWAY
MOBILE, AL 36606
Pharmacy Comments
Contract Details
Approval Date
1/15/2018
Contract Begin Date
4/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/28/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Angelia Lewis, CEO
(251) 690-8832
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
1/15/2018
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