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WALMART PHARMACY 10-5169
CH052140 Henderson County Rural Health Center, Inc
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Covered Entity Details
Entity Name
Henderson County Rural Health Center, Inc
Subdivision Name
Eagle View Community Health System-Oquawka Location
Type
HRSA-Funded Health Center
340B ID
CH052140
Entity Address
1204 HIGHWAY 164 EAST
OQUAWKA, IL 61469
Grant Number
H80CS00192
Participating Start Date
10/1/1998
Last Recertification Date
2/12/2025
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
5/4/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Shannon Courson, Executive Director
(309) 867-2202 Ext: 219
Contract Pharmacy Representative
Walmart
Julie Howard, 340b Program Manager
(479) 739-1973 Ext: 4792771498
Signed By Date
5/4/2023
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