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WALMART PHARMACY 10-5169
CHC24105-01 COMMUNITY TREATMENT INCORPORATED
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Covered Entity Details
Entity Name
COMMUNITY TREATMENT INCORPORATED
Subdivision Name
COMTREA High Ridge Family Medical Center
Type
HRSA-Funded Health Center
340B ID
CHC24105-01
Entity Address
324 Emerson Road
High Ridge, MO 63049-2542
Grant Number
H80CS24105
Participating Start Date
1/1/2013
Last Recertification Date
1/30/2023
Entity Termination Date
1/1/2024
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
Contract Termination Date
Termination Reason
10/1/2023
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Amy Rhodes, CFO
(636) 232-2341
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
4/7/2023
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