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WALMART PHARMACY 10-7241
CH061898D Rkm Primary Care
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Covered Entity Details
Entity Name
Rkm Primary Care
Subdivision Name
RKM Primary Care Livingston
Type
HRSA-Funded Health Center
340B ID
CH061898D
Entity Address
28315 S. Frost Road
Livingston, LA 70757
Grant Number
H80CS06459
Participating Start Date
7/1/2014
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
WALMART PHARMACY 10-7241
Pharmacy Address
25820 LA HWY 16
DENHAM SPRINGS, LA 70726
Pharmacy Comments
Contract Details
Approval Date
7/13/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Christi C. Hunt, CEO
(225) 683-5292 Ext: 10203
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
7/13/2023
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