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WALMART PHARMACY 10-5169
HV00729 Health Equity Alliance (HEAL)
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Covered Entity Details
Entity Name
Health Equity Alliance (HEAL)
Subdivision Name
Type
Ryan White Part C
340B ID
HV00729
Entity Address
5 Long Lane
Suite 1
Ellsworth, ME 04605
Grant Number
H76HA00729
Participating Start Date
4/1/2017
Last Recertification Date
2/11/2025
Entity Termination Date
4/1/2025
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
4/18/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2025
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Josh B DAlessio, Executive Director
(207) 888-2129
Contract Pharmacy Representative
WellPartner
Anthony McEeachern, Anthony McEachern
(315) 314-1802
Signed By Date
4/18/2023
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