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WALMART PHARMACY 10-5169
CHC28364-00 CARES COMMUNITY HEALTH
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Covered Entity Details
Entity Name
CARES COMMUNITY HEALTH
Subdivision Name
Cares Community Health dba One Community Health - Midtown
Type
HRSA-Funded Health Center
340B ID
CHC28364-00
Entity Address
1500 21st Street, Basement, 1st Floor, 2nd Floor/East Wing BLDG A
Sacramento, CA 95811
Grant Number
H80CS28364
Participating Start Date
10/1/2015
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
7/5/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Michelle Ann Laufman Monroe, CEO
(916) 914-6240
Contract Pharmacy Representative
Walmart
Julie Howard, 340B Program Manager
(479) 277-1498
Signed By Date
7/5/2023
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