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WALMART PHARMACY 10-5169
CH0417140 Christ Community Health Services, Inc.
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Covered Entity Details
Entity Name
Christ Community Health Services, Inc.
Subdivision Name
THIRD STREET HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH0417140
Entity Address
3362 S 3rd St
MEMPHIS, TN 38109-2944
Grant Number
H80CS00881
Participating Start Date
7/1/2003
Last Recertification Date
2/12/2025
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
1/24/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Talia Peterson, Chief Financial Officer
(901) 842-3160
Contract Pharmacy Representative
Walmart
Julie Howard, 340b Program Manager
(479) 739-1973 Ext: 4792771498
Signed By Date
1/24/2023
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