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WALMART PHARMACY 10-5169
CHC24101-01 ADAPT
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Covered Entity Details
Entity Name
ADAPT
Subdivision Name
FQHC-Madrone
Type
HRSA-Funded Health Center
340B ID
CHC24101-01
Entity Address
621 W Madrone St
Roseburg, OR 97470-3090
Grant Number
H80CS24101
Participating Start Date
7/1/2021
Last Recertification Date
2/13/2025
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
4/11/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Gregory Brigham, Authorizing Official
(541) 672-2961
Contract Pharmacy Representative
Walmart
Julie Howard, 340b Program Manager
(479) 739-1973 Ext: 4792771498
Signed By Date
4/11/2023
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