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WALMART PHARMACY 10-5169
CH074540 CareArc, Inc
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Covered Entity Details
Entity Name
CareArc, Inc
Subdivision Name
FLINT HILLS COMMUNITY HEALTH CENTER/LYON
Type
HRSA-Funded Health Center
340B ID
CH074540
Entity Address
420 W 15th Ave
Emporia, KS 66801-5367
Grant Number
H80CS28423
Participating Start Date
1/1/2005
Last Recertification Date
2/19/2025
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
4/3/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Renee E Hively, CEO
(620) 208-3701
Contract Pharmacy Representative
Walmart
Julie Howard, 340B Program Manager
(479) 277-1498
Signed By Date
4/3/2023
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