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WALMART PHARMACY 10-5169
CH044523D CABARRUS COMMUNITY HEALTH CENTERS, INC.
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Covered Entity Details
Entity Name
CABARRUS COMMUNITY HEALTH CENTERS, INC.
Subdivision Name
Northern Rowan Family Medicine
Type
HRSA-Funded Health Center
340B ID
CH044523D
Entity Address
300 N Salisbury Ave
Spencer, NC 28159
Grant Number
H80CS06652
Participating Start Date
1/1/2016
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
4/5/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Don Holloman, CEO
(704) 792-2203
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
4/5/2023
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