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WALMART PHARMACY 10-4654
CH060140 EAST ARKANSAS FAMILY HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
EAST ARKANSAS FAMILY HEALTH CENTER, INC.
Subdivision Name
East Arkansas Family Health Center, Inc.
Type
HRSA-Funded Health Center
340B ID
CH060140
Entity Address
900 North 7th St
West Memphis, AR 72301-3550
Grant Number
H80CS00123
Participating Start Date
12/1/1992
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WALMART PHARMACY 10-4654
Pharmacy Address
2100 HIGHWAY 77
MARION, AR 72364
Pharmacy Comments
Contract Details
Approval Date
4/12/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
SUSAN WARD-JONES, CEO
(870) 735-3842
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
4/12/2019
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