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WALMART PHARMACY 10-5169
CH101520 TRI-CITIES COMMUNITY HEALTH
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Covered Entity Details
Entity Name
TRI-CITIES COMMUNITY HEALTH
Subdivision Name
TCCH Pasco-Medical, Pharmacy & Optometry
Type
HRSA-Funded Health Center
340B ID
CH101520
Entity Address
515 W Court St
Pasco, WA 99301-3737
Grant Number
H80CS00498
Participating Start Date
7/1/1996
Last Recertification Date
2/10/2025
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
1/6/2023
Contract Begin Date
2/15/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kristy Needham, Chief Operating Officer
(509) 543-1922
Contract Pharmacy Representative
Walmart
Van Donn, Director of Contracting 340b
(303) 261-5549
Signed By Date
1/6/2023
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