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WAL-MART PHARMACY 10-1514
CHC24105-04 COMMUNITY TREATMENT INCORPORATED
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Covered Entity Details
Entity Name
COMMUNITY TREATMENT INCORPORATED
Subdivision Name
Community Treatment, Inc
Type
HRSA-Funded Health Center
340B ID
CHC24105-04
Entity Address
21 Municipal Dr
Arnold, MO 63010-1012
Grant Number
H80CS24105
Participating Start Date
7/1/2014
Last Recertification Date
1/30/2023
Entity Termination Date
1/1/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1514
Pharmacy Address
2201 MICHIGAN AVE
ARNOLD, MO 63010
Pharmacy Comments
Contract Details
Approval Date
7/16/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Amy Rhodes, CFO
(636) 232-2341
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
7/16/2018
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