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WALMART PHARMACY 10-5169
CHC06453-00 PUSHMATAHA FAMILY MEDICAL CENTER INC.
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Covered Entity Details
Entity Name
PUSHMATAHA FAMILY MEDICAL CENTER INC.
Subdivision Name
PUSHMATAHA FAMILY MEDICAL CENTER
Type
HRSA-Funded Health Center
340B ID
CHC06453-00
Entity Address
1020 North Lawson Blvd
CLAYTON, OK 74536-0219
Grant Number
H80CS06453
Participating Start Date
1/1/2018
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
Angela Batton, CEO
(918) 569-4143
Contract Pharmacy Representative
Walmart
Julie Howard, 340b Program Manager
(479) 739-1973 Ext: 4792771498
Signed By Date
1/13/2023
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