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WAL-MART PHARMACY WHSE #45
CH071170 COMMUNITY HEALTH CARE, INC.
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Covered Entity Details
Entity Name
COMMUNITY HEALTH CARE, INC.
Subdivision Name
Community Health Care, Inc. River Drive Clinic
Type
HRSA-Funded Health Center
340B ID
CH071170
Entity Address
500 W River Dr
Davenport, IA 52801
Grant Number
H80CS00670
Participating Start Date
12/1/1992
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY WHSE #45
Pharmacy Address
2250 NORTH 8TH STREET
SUITE 102-A
ROGERS, AR 72756
Pharmacy Comments
Contract Details
Approval Date
4/12/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/5/2024
Agreement registered in error
Contacts
Covered Entity Signing Official
Thomas Bowman, CEO
(563) 336-3112
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/12/2023
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