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WAL-MART PHARMACY 10-0678
CH04681D RURAL MEDICAL SERVICES, INC.
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Covered Entity Details
Entity Name
RURAL MEDICAL SERVICES, INC.
Subdivision Name
Newport Center
Type
HRSA-Funded Health Center
340B ID
CH04681D
Entity Address
229 HEDRICK DR
Newport, TN 37821-2902
Grant Number
H80CS00406
Participating Start Date
7/1/2002
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0678
Pharmacy Address
1075 COSBY HIGHWAY
NEWPORT, TN 37821
Pharmacy Comments
Contract Details
Approval Date
10/12/2020
Contract Begin Date
1/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kelly Melear-Hough, COO/Interim Co-CEO
(423) 613-3311
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
10/12/2020
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