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WALMART PHARMACY 10-5169
CH010220 Generations Family Health Center, Inc.
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Covered Entity Details
Entity Name
Generations Family Health Center, Inc.
Subdivision Name
Generations Family Health Center, Inc.
Type
HRSA-Funded Health Center
340B ID
CH010220
Entity Address
40 Mansfield Ave
Willimantic, CT 06226-2018
Grant Number
H80CS00155
Participating Start Date
1/1/2002
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
1/13/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Melissa Meyers, Chief Executive Officer
(860) 456-6208
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
1/13/2023
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