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WALMART PHARMACY 10-5169
CHC11426-00 ELLIS COUNTY COALITION FOR HEALTH OPTIONS
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Covered Entity Details
Entity Name
ELLIS COUNTY COALITION FOR HEALTH OPTIONS
Subdivision Name
Hope Health
Type
HRSA-Funded Health Center
340B ID
CHC11426-00
Entity Address
572 Coleman Street
Waxahachie, TX 75165-3827
Grant Number
H80CS12874
Participating Start Date
7/1/2009
Last Recertification Date
2/24/2025
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
4/24/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/16/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Barbara Clark, CEO
(972) 923-2440 Ext: 201
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
4/24/2023
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