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WALMART PHARMACY 10-5169
CH061412A CACTUS HEALTH SERVICES INC
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Covered Entity Details
Entity Name
CACTUS HEALTH SERVICES INC
Subdivision Name
Cactus Health Services, Inc.
Type
HRSA-Funded Health Center
340B ID
CH061412A
Entity Address
700 N. Main
Fort Stockton, TX 79735
Grant Number
H80CS01426
Participating Start Date
7/1/2014
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
1/11/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Luis Villarreal, CEO
(432) 336-8110
Contract Pharmacy Representative
Walmart
Julie Howard, 340b Program Manager
(479) 739-1973 Ext: 4792771498
Signed By Date
1/11/2023
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