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WALMART PHARMACY 10-5169
CH072100 BETTY JEAN KERR - PEOPLE'S HEALTH CENTERS
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Covered Entity Details
Entity Name
BETTY JEAN KERR - PEOPLE'S HEALTH CENTERS
Subdivision Name
PEOPLE'S HEALTH CENTERS, INC.
Type
HRSA-Funded Health Center
340B ID
CH072100
Entity Address
5701 Delmar Blvd
Saint Louis, MO 63112-2617
Grant Number
H80CS00133
Participating Start Date
7/1/1996
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
1/17/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Mark Sanford, Executive Vice President
(314) 367-7848 Ext: 1209
Contract Pharmacy Representative
Walmart
Julie Howard, 340b Program Manager
(479) 739-1973 Ext: 4792771498
Signed By Date
1/17/2023
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