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WAL-MART PHARMACY 10-0076
DSH040017C NORTH ARKANSAS REGIONAL MEDICAL CENTER
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Covered Entity Details
Entity Name
NORTH ARKANSAS REGIONAL MEDICAL CENTER
Subdivision Name
NEWTON COUNTY FAMILY PRACTICE CLINIC
Type
Disproportionate Share Hospital
340B ID
DSH040017C
Entity Address
502 WEST COURT
JASPER, AR 72641
Medicare Provider Number
040017
Outpatient Facility Provider Number
Participating Start Date
10/1/2010
Last Recertification Date
9/5/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0076
Pharmacy Address
1000 WEST TRIMBLE
BERRYVILLE, AR 72616
Pharmacy Comments
Contract Details
Approval Date
10/12/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Sammie Cribbs, Chief Executive Officer
(870) 414-5159
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
10/12/2022
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