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WAL-MART PHARMACY 10-2071
CH10002A ANCHORAGE NEIGHBORHOOD HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
ANCHORAGE NEIGHBORHOOD HEALTH CENTER, INC.
Subdivision Name
Anchorage Neighborhood Health Center, Inc.
Type
HRSA-Funded Health Center
340B ID
CH10002A
Entity Address
4951 Business Park Blvd
Anchorage, AK 99503-7174
Grant Number
H80CS00146
Participating Start Date
4/1/1999
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-2071
Pharmacy Address
8900 OLD SEWARD HWY
ANCHORAGE (S), AK 99515
Pharmacy Comments
Contract Details
Approval Date
10/20/2016
Contract Begin Date
1/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Tammy Green, Chief Executive Officer
(907) 743-7305
Contract Pharmacy Representative
Wal-Mart
Marcus Osbourne, VP of Health and Wellness Transformation
(479) 204-9374
Signed By Date
10/20/2016
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