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WAL-MART PHARMACY 10-2532
CH059030 COMMUNITY HEALTH SYSTEMS, INC.
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Covered Entity Details
Entity Name
COMMUNITY HEALTH SYSTEMS, INC.
Subdivision Name
Beloit Area Community Health Center
Type
HRSA-Funded Health Center
340B ID
CH059030
Entity Address
74 Eclipse Ctr
BELOIT, WI 53511-3550
Grant Number
H80CS00676
Participating Start Date
1/1/1999
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-2532
Pharmacy Address
2785 MILWAUKEE ROAD
BELOIT, WI 53511
Pharmacy Comments
Contract Details
Approval Date
6/22/2012
Contract Begin Date
6/22/2012
Carve-In Effective Date
Contract Comments
3/25/16 "unterminated" after discussion with CE
Contract Termination Date
Termination Reason
7/11/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
RICHARD A. PERRY, CEO
(608) 361-6130
Contract Pharmacy Representative
Wal--Mart
Marcus Osborne, Sales & Contracting
(479) 204-8452
Signed By Date
6/15/2012
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