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WALMART PHARMACY 10-5169
CH060110 JEFFERSON COMPREHENSIVE CARE SYSTEM, INC.
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Covered Entity Details
Entity Name
JEFFERSON COMPREHENSIVE CARE SYSTEM, INC.
Subdivision Name
JEFFERSON COMPREHENSIVE CARE SYSTEM, Inc.
Type
HRSA-Funded Health Center
340B ID
CH060110
Entity Address
1101 S Tennessee St
Pine Bluff, AR 71601-5801
Grant Number
H80CS00727
Participating Start Date
1/1/2007
Last Recertification Date
3/7/2025
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
Sandra J. Brown, Chief Executive Officer
(870) 543-2300
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
1/17/2023
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