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WAL-MART PHARMACY 10-0144
CH060940 ARCARE
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Covered Entity Details
Entity Name
ARCARE
Subdivision Name
ARcare Corporate Office
Type
HRSA-Funded Health Center
340B ID
CH060940
Entity Address
117 S 2nd St
Augusta, AR 72006-2309
Grant Number
H80CS00207
Participating Start Date
4/1/2006
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0144
Pharmacy Address
2875 MARTIN LUTHER KING, JR BLVD
FAYETTEVILLE, AR 72704
Pharmacy Comments
Contract Details
Approval Date
4/15/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/17/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
TALMAGE J. WHITEHEAD, President/CFO
(870) 347-3414
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
4/15/2020
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