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WALMART PHARMACY 10-5169
CH102970 Rogue Community Health
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Covered Entity Details
Entity Name
Rogue Community Health
Subdivision Name
Medford Health Center
Type
HRSA-Funded Health Center
340B ID
CH102970
Entity Address
19 Myrtle St
Medford, OR 97504-7337
Grant Number
H80CS04204
Participating Start Date
9/9/2005
Last Recertification Date
3/4/2025
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
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
WIlliam North, CEO
(541) 223-3172
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
1/6/2023
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