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WALMART PHARMACY 10-5169
CH053086A Lifecare Family Health & Dental Center, Inc.
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Covered Entity Details
Entity Name
Lifecare Family Health & Dental Center, Inc.
Subdivision Name
Lincoln Street Health Center
Type
HRSA-Funded Health Center
340B ID
CH053086A
Entity Address
2725 Lincoln St E
Canton, OH 44707-2769
Grant Number
H80CS06654
Participating Start Date
4/1/2008
Last Recertification Date
2/13/2025
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
1/16/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Eric Niemeyer, CEO
(330) 454-2000 Ext: 150
Contract Pharmacy Representative
Walmart
Julie Howard, 340B Program Manager
(479) 277-1498
Signed By Date
1/16/2023
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