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WALMART PHARMACY 10-5169
CHC26641-00 BATTENKILL VALLEY HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
BATTENKILL VALLEY HEALTH CENTER, INC.
Subdivision Name
Battenkill Valley Health Center Inc.
Type
HRSA-Funded Health Center
340B ID
CHC26641-00
Entity Address
9 Church St
Arlington, VT 05250-4457
Grant Number
H80CS26641
Participating Start Date
4/1/2015
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
1/16/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kayla Lynn Davis, Project Director
(802) 430-7281
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
1/16/2023
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