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WALMART PHARMACY 10-5169
CHC26573-00 TRAVERSE HEALTH CLINIC AND COALITION
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Covered Entity Details
Entity Name
TRAVERSE HEALTH CLINIC AND COALITION
Subdivision Name
Traverse Health Clinic and Coalition
Type
HRSA-Funded Health Center
340B ID
CHC26573-00
Entity Address
1719 S. Garfield Ave.
Traverse City, MI 49686
Grant Number
H80CS26573
Participating Start Date
4/1/2017
Last Recertification Date
2/24/2025
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
Arlene Brennan, CEO
(231) 642-5935
Contract Pharmacy Representative
Walmart
Julie Howard, 340b Program Manager
(479) 739-1973 Ext: 4792771498
Signed By Date
1/17/2023
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