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WALMART PHARMACY 10-5169
CHC26588-00 CHRIST HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
CHRIST HEALTH CENTER, INC.
Subdivision Name
CHC - Woodlawn
Type
HRSA-Funded Health Center
340B ID
CHC26588-00
Entity Address
5720 1st Ave S
Birmingham, AL 35212-2522
Grant Number
H80CS26588
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
4/5/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/4/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Robert Rex Record, CEO
(205) 380-9455
Contract Pharmacy Representative
Walmart
Julie Howard, 340b Program Manager
(479) 739-1973 Ext: 4792771498
Signed By Date
4/5/2023
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