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WAL-MART PHARMACY 10-0083
CHC00342-00 CABUN RURAL HEALTH SERVICES, INC
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Covered Entity Details
Entity Name
CABUN RURAL HEALTH SERVICES, INC
Subdivision Name
CABUN Rural Health Services, Inc.
Type
HRSA-Funded Health Center
340B ID
CHC00342-00
Entity Address
402 LEE ST
HAMPTON, AR 71744
Grant Number
H80CS00342
Participating Start Date
10/1/2009
Last Recertification Date
2/21/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0083
Pharmacy Address
60 79 BYPASS NORTH
MAGNOLIA, AR 71753
Pharmacy Comments
Contract Details
Approval Date
7/9/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
MELANIE SHEPPARD, CEO
(870) 798-4064 Ext: 2227
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
7/9/2018
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