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WALMART PHARMACY 10-5169
CH033930 CHESPENN HEALTH SERVICES
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Covered Entity Details
Entity Name
CHESPENN HEALTH SERVICES
Subdivision Name
CHESPENN HEALTH SERVICES
Type
HRSA-Funded Health Center
340B ID
CH033930
Entity Address
1510 Chester Pike, Suite 200
Eddystone, PA 19022
Grant Number
H80CS00738
Participating Start Date
1/1/2003
Last Recertification Date
2/20/2025
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
1/19/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/16/2023
Pharmacy closed
Contacts
Covered Entity Signing Official
Susan Harris McGovern, President and CEO
(610) 485-3800 Ext: 632
Contract Pharmacy Representative
340Bascis
Rufino Maltez, Account Manager
(856) 780-2683
Signed By Date
1/19/2023
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