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WALMART PHARMACY 10-5169
CHC26575-00 Community Health & Wellness Partners of Logan County
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Covered Entity Details
Entity Name
Community Health & Wellness Partners of Logan County
Subdivision Name
West Liberty Community Health Center
Type
HRSA-Funded Health Center
340B ID
CHC26575-00
Entity Address
4879 US Route 68 South
West Liberty, OH 43357-1123
Grant Number
H80CS26575
Participating Start Date
7/1/2014
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
2/22/2023
Contract Begin Date
2/22/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Tara Bair, President/CEO
(937) 599-1411 Ext: 250
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
2/22/2023
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