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WALMART PHARMACY 10-5169
CH074650 All Care Health Center
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Covered Entity Details
Entity Name
All Care Health Center
Subdivision Name
All Care Health Center
Type
HRSA-Funded Health Center
340B ID
CH074650
Entity Address
902 S 6th St
Council Bluffs, IA 51501-6441
Grant Number
H80CS00570
Participating Start Date
1/1/2002
Last Recertification Date
2/25/2025
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
William M. Wypyski Jr., EXECUTIVE DIRECTOR
(712) 256-6571
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
1/12/2023
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