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WAL-MART PHARMACY 10-5997
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 10-5997
Pharmacy Address
9600 PARKSOUTH CT. SUITE 100
ORLANDO, FL 32837
Pharmacy Comments
Contract Details
Approval Date
7/20/2017
Contract Begin Date
10/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Tammy Green, Chief Executive Officer
(907) 743-7305
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
7/20/2017
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