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WALMART PHARMACY 10-5169
CH060710 CROSS TIMBERS HEALTH CLINICS, INC. DBA ACCELHEALTH
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Covered Entity Details
Entity Name
CROSS TIMBERS HEALTH CLINICS, INC. DBA ACCELHEALTH
Subdivision Name
AccelHealth - DeLeon
Type
HRSA-Funded Health Center
340B ID
CH060710
Entity Address
1100 W Reynosa Ave
De Leon, TX 76444-1630
Grant Number
H80CS00124
Participating Start Date
12/1/1992
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
4/17/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Esther Taylor, Chief Executive Officer
(254) 893-5895 Ext: 1023
Contract Pharmacy Representative
Walmart
Julie Howard, 340B Program Manager
(479) 277-1498
Signed By Date
4/17/2023
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