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WALMART PHARMACY 10-5169
RRC040039-00 Arkansas Methodist Medical Center
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Covered Entity Details
Entity Name
Arkansas Methodist Medical Center
Subdivision Name
Type
Rural Referral Center
340B ID
RRC040039-00
Entity Address
900 W Kingshighway
Paragould, AR 72450
Medicare Provider Number
040039
Participating Start Date
4/1/2018
Last Recertification Date
8/22/2023
Entity Termination Date
1/1/2024
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
1/17/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Staci J Williams, CFO
(870) 239-7105
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
1/17/2023
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