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WALMART PHARMACY 10-5169
CH071700 FAMILY CARE HEALTH CENTERS
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Covered Entity Details
Entity Name
FAMILY CARE HEALTH CENTERS
Subdivision Name
CARONDELET
Type
HRSA-Funded Health Center
340B ID
CH071700
Entity Address
401 HOLLY HILLS AVE
ST LOUIS, MO 63111-2410
Grant Number
H80CS00492
Participating Start Date
10/1/2002
Last Recertification Date
2/18/2025
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
4/19/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Aramide Ayorinde, Chief Executive Officer
(314) 481-1615 Ext: 1315
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
4/19/2023
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