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WALMART PHARMACY 10-5169
CH073080 COMMUNITY ACTION PARTNERSHIP OF WESTERN NEBRASKA
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Covered Entity Details
Entity Name
COMMUNITY ACTION PARTNERSHIP OF WESTERN NEBRASKA
Subdivision Name
Type
HRSA-Funded Health Center
340B ID
CH073080
Entity Address
3350 10th St
Gering, NE 69341-1724
Grant Number
H80CS00329
Participating Start Date
7/1/1998
Last Recertification Date
2/18/2025
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
Betsy Vidlak, CEO
(308) 633-3219
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
1/13/2023
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