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WALMART PHARMACY 10-5169
CHC08776-00 Valley Professionals Community Health Center, Inc.
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Covered Entity Details
Entity Name
Valley Professionals Community Health Center, Inc.
Subdivision Name
VPCHC - Clinton
Type
HRSA-Funded Health Center
340B ID
CHC08776-00
Entity Address
777 S Main St STE 100
Clinton, IN 47842
Grant Number
H80CS08776
Participating Start Date
4/1/2009
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
4/6/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
TERRY J. WARREN JR., CEO
(765) 828-1003
Contract Pharmacy Representative
Healdsburg District Hospital
Kathi Phelps, Manager Contracting
(479) 277-3719
Signed By Date
4/6/2023
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