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WALMART PHARMACY 10-5169
CHC24157-00 Foothills Community Health Care, Inc.
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Covered Entity Details
Entity Name
Foothills Community Health Care, Inc.
Subdivision Name
Foothills Community Health Care- Lakeside Anderson
Type
HRSA-Funded Health Center
340B ID
CHC24157-00
Entity Address
302 Pearman Dairy Road
Ste C1
Anderson, SC 29625
Grant Number
H80CS24157
Participating Start Date
10/1/2014
Last Recertification Date
2/27/2025
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
1/9/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/30/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Mark J Rajkowski, CEO
(864) 722-0283 Ext: 205
Contract Pharmacy Representative
Walmart
Julie Howard, 340b Program Manager
(479) 739-1973 Ext: 4792771498
Signed By Date
1/9/2023
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