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WALMART PHARMACY 10-5169
FP31329 Thrive Healthcare Center, Inc.
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Covered Entity Details
Entity Name
Thrive Healthcare Center, Inc.
Subdivision Name
Type
Family Planning (Title X only)
340B ID
FP31329
Entity Address
505 N Laurel Street
B1
Springfield, GA 31329
Grant Number
FPHPA006481
Participating Start Date
4/28/2022
Last Recertification Date
5/6/2024
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
4/17/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
William Stuart Carroll, Chief Financial Officer
(843) 260-7043
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/17/2023
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