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WALMART PHARMACY 10-5169
CHC24155-00 TEJAS HEALTH CARE
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Covered Entity Details
Entity Name
TEJAS HEALTH CARE
Subdivision Name
Tejas Health Care
Type
HRSA-Funded Health Center
340B ID
CHC24155-00
Entity Address
753 E Travis St
La Grange, TX 78945-2353
Grant Number
H80CS24155
Participating Start Date
1/1/2014
Last Recertification Date
2/17/2025
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
1/30/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/2/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Sheri Kehler, CEO
(979) 968-6596 Ext: 120
Contract Pharmacy Representative
Walmart
Julie Howard, 340b Program Manager
(479) 739-1973 Ext: 4792771498
Signed By Date
1/30/2023
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