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WALMART PHARMACY 10-5169
CHC24156-00 Rutherford County Primary Care, Inc.
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Covered Entity Details
Entity Name
Rutherford County Primary Care, Inc.
Subdivision Name
Primary Care & Hope Clinic
Type
HRSA-Funded Health Center
340B ID
CHC24156-00
Entity Address
1453 Hope Way
Murfreesboro, TN 37129-3140
Grant Number
H80CS24156
Participating Start Date
10/1/2012
Last Recertification Date
2/11/2025
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
Kevin Clement, Director of Pharmacy
(615) 893-9390 Ext: 181
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
1/12/2023
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