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WALMART PHARMACY 10-5169
CH042780 CAROLINA HEALTH CENTERS, INC.
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Covered Entity Details
Entity Name
CAROLINA HEALTH CENTERS, INC.
Subdivision Name
Type
HRSA-Funded Health Center
340B ID
CH042780
Entity Address
313 MAIN STREET
SUITE B
GREENWOOD, SC 29646
Grant Number
H80CS00785
Participating Start Date
1/1/2004
Last Recertification Date
2/26/2025
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
1/12/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
SUE VEER, CEO
(864) 388-0301 Ext: 68207
Contract Pharmacy Representative
Walmart
Julie Howard, 340b Program Manager
(479) 739-1973 Ext: 4792771498
Signed By Date
1/12/2023
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