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WALMART PHARMACY 10-5169
CH077310 COMMUNITY HEALTH CENTERS OF SOUTHEASTERN IOWA, INC
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Covered Entity Details
Entity Name
COMMUNITY HEALTH CENTERS OF SOUTHEASTERN IOWA, INC
Subdivision Name
CHC/SEIA WEST BURLINGTON CLINIC
Type
HRSA-Funded Health Center
340B ID
CH077310
Entity Address
1706 W Agency Rd
West Burlington, IA 52655-1667
Grant Number
H80CS00272
Participating Start Date
1/1/2003
Last Recertification Date
2/17/2025
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
4/7/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Antonio Flores, CEO
(319) 753-2300 Ext: 122
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
4/7/2023
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