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WAL-MART PHARMACY 10-2867
CH051830 INGHAM COUNTY HEALTH DEPARTMENT
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Covered Entity Details
Entity Name
INGHAM COUNTY HEALTH DEPARTMENT
Subdivision Name
CEDAR COMMUNITY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH051830
Entity Address
5303 S. Cedar St.
LANSING, MI 48911-3800
Grant Number
H80CS00030
Participating Start Date
10/1/2007
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-2867
Pharmacy Address
3225 TOWNE CENTRE BLVD
LANSING (N), MI 48912
Pharmacy Comments
Contract Details
Approval Date
4/13/2018
Contract Begin Date
7/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/15/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Anne C. Scott, Executive Director/Deputy Health Officer
(517) 887-4361
Contract Pharmacy Representative
Healdsburg District Hospital
Kathi Phelps, Manager Contracting
(479) 277-3719
Signed By Date
4/13/2018
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