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WALMART PHARMACY 10-5169
CH06392C LA FAMILIA MEDICAL CENTER INC
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Covered Entity Details
Entity Name
LA FAMILIA MEDICAL CENTER INC
Subdivision Name
LFMC HEALTHCARE FOR THE HOMELESS
Type
HRSA-Funded Health Center
340B ID
CH06392C
Entity Address
1532 Cerrillos Rd
Ste B
Santa Fe, NM 87505-3018
Grant Number
H80CS00606
Participating Start Date
4/1/2004
Last Recertification Date
2/10/2025
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
6/1/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Julie Kay Wright, CEO
(505) 982-4425
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
6/1/2023
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