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WALMART PHARMACY 10-4619
CH04686P Access Family Health Services, Inc.
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Covered Entity Details
Entity Name
Access Family Health Services, Inc.
Subdivision Name
Access School Health - Pontotoc Main
Type
HRSA-Funded Health Center
340B ID
CH04686P
Entity Address
135 E Oxford St
Pontotoc, MS 38863-2111
Grant Number
H80CS00633
Participating Start Date
10/1/2019
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
WALMART PHARMACY 10-4619
Pharmacy Address
316 S. GLOSTER STREET
TUPELO, MS 38801
Pharmacy Comments
Contract Details
Approval Date
5/2/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
MARILYN SUMERFORD, CEO
(662) 651-4686 Ext: 8103
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
5/2/2023
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