340B Drug Pricing Program Database
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WALMART PHARMACY 10-5169
RWII35233 Birmingham AIDS Outreach, Inc.
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Covered Entity Details
Entity Name
Birmingham AIDS Outreach, Inc.
Subdivision Name
Magic City Wellness Center
Type
Ryan White Part B
340B ID
RWII35233
Entity Address
3220 5th Avenue South
Suite 100
Birmingham, AL 35222
Grant Number
X07HA00049
Participating Start Date
10/1/2016
Last Recertification Date
2/13/2025
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
1/4/2023
Contract Begin Date
1/30/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
KAREN MUSGROVE, EXECUTIVE DIRECTOR
(205) 322-4197
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
1/4/2023
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