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WALMART PHARMACY 10-5169
CHC24137-00 Ozarks Resource Group
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Covered Entity Details
Entity Name
Ozarks Resource Group
Subdivision Name
OCHC - Hermitage Medical Center
Type
HRSA-Funded Health Center
340B ID
CHC24137-00
Entity Address
18614 Jackson St.
Hermitage, MO 65668-0021
Grant Number
H80CS24137
Participating Start Date
7/1/2013
Last Recertification Date
2/12/2025
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
1/17/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Scott Crouch, CEO
(417) 745-2121
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
1/17/2023
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