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WALMART PHARMACY 10-5169
CH057480 RIGGS COMMUNITY HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
RIGGS COMMUNITY HEALTH CENTER, INC.
Subdivision Name
RIGGS COMMUNITY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH057480
Entity Address
1716 Hartford St
Lafayette, IN 47904-2173
Grant Number
H80CS00565
Participating Start Date
1/1/1997
Last Recertification Date
2/11/2025
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
7/6/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kimberly Dowell, CFO
(765) 429-2770
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
7/6/2023
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