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WAL-MART PHARMACY 10-0160
CH063720 1st Choice Healthcare, Inc.
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Covered Entity Details
Entity Name
1st Choice Healthcare, Inc.
Subdivision Name
1st Choice Healthcare Corning
Type
HRSA-Funded Health Center
340B ID
CH063720
Entity Address
1300 CREASON ROAD
CORNING, AR 72422
Grant Number
H80CS00537
Participating Start Date
11/21/2005
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0160
Pharmacy Address
219 US HIGHWAY 412
ASH FLAT, AR 72513
Pharmacy Comments
Contract Details
Approval Date
4/5/2017
Contract Begin Date
7/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
BRIGITTE MCDONALD, Chief Executive Officer
(870) 857-3334 Ext: 302
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
4/5/2017
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