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WALMART PHARMACY 10-5169
CHC24167-00 RICHLAND, PARISH OF
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Covered Entity Details
Entity Name
RICHLAND, PARISH OF
Subdivision Name
Delhi Community Health Center
Type
HRSA-Funded Health Center
340B ID
CHC24167-00
Entity Address
501 Broadway Street
Delhi, LA 71232-2838
Grant Number
H80CS24167
Participating Start Date
10/1/2014
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
7/12/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Barbara Hutchinson, CEO
(318) 878-6650
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
7/12/2023
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