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WALMART PHARMACY 10-5169
CHC26573-01 Traverse Health Clinic and Coalition
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Covered Entity Details
Entity Name
Traverse Health Clinic and Coalition
Subdivision Name
Traverse Health Clinic and Coalition Mobile Medical Unit #1
Type
HRSA-Funded Health Center
340B ID
CHC26573-01
Entity Address
1719 S Garfield Ave
Traverse City, MI 49686-4337
Grant Number
H80CS26573
Participating Start Date
4/1/2023
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
WALMART PHARMACY 10-5169
Pharmacy Address
2252 NORTH 8TH STREET
SUITE A
ROGERS, AR 72756
Pharmacy Comments
Contract Details
Approval Date
1/5/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Krista Tharp, Corporate Compliance and Risk Officer
(231) 935-0799 Ext: 5936
Contract Pharmacy Representative
340Basics
Jodie Baldwin, Account Manager
(856) 639-4077
Signed By Date
1/4/2023
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