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WAL-MART PHARMACY 10-0731
CH04285J Rural Health Medical Program, Inc.
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Covered Entity Details
Entity Name
Rural Health Medical Program, Inc.
Subdivision Name
Rural Health Medical Program, Inc.- Demopolis Health Center
Type
HRSA-Funded Health Center
340B ID
CH04285J
Entity Address
1502 US Highway 80
Unit A
Demopolis, AL 36732
Grant Number
H80CS00794
Participating Start Date
1/1/2019
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0731
Pharmacy Address
969 US HWY 80 WEST
DEMOPOLIS, AL 36732
Pharmacy Comments
Contract Details
Approval Date
7/18/2022
Contract Begin Date
10/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
KESHEE Danee DOZIER-SMITH, CEO
(334) 874-7428 Ext: 121
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
7/18/2022
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