Contract Pharmacy Details

WALMART PHARMACY 10-5169
CH041660 Community Health Centers, Inc.

Covered Entity Details

Entity Name

Community Health Centers, Inc.

Subdivision Name

COMMUNITY HEALTH CENTERS, INC.

Type

HRSA-Funded Health Center

340B ID

CH041660

Entity Address

110 S Woodland St
Winter Garden, FL 34787-3546

Grant Number

H80CS00809

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

Debra Sue Andree, President / Chief Executive Officer
(407) 905-8827 Ext: 1212

Contract Pharmacy Representative

Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498

Signed By Date

4/17/2023

340B Drug Pricing Program Database