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WALMART PHARMACY 10-5169
CH046810 RURAL MEDICAL SERVICES, INC.
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Covered Entity Details
Entity Name
RURAL MEDICAL SERVICES, INC.
Subdivision Name
Corporate Office
Type
HRSA-Funded Health Center
340B ID
CH046810
Entity Address
207 Murray Drive
Newport, TN 37821-9032
Grant Number
H80CS00406
Participating Start Date
7/1/2018
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
George E Barton, CEO
(423) 613-3300
Contract Pharmacy Representative
Walmart
Julie Howard, 340B Program Manager
(479) 277-1498
Signed By Date
1/17/2023
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