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WALMART PHARMACY 10-5169
CH030150 Total Health Care, Inc.
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Covered Entity Details
Entity Name
Total Health Care, Inc.
Subdivision Name
Division Health Center
Type
HRSA-Funded Health Center
340B ID
CH030150
Entity Address
1501 DIVISION STREET
BALTIMORE, MD 21217
Grant Number
H80CS00068
Participating Start Date
12/1/1992
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
1/20/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Danny Bellamy, CEO
(410) 728-4090
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
1/20/2023
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