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WALMART PHARMACY 10-5169
FQHCLA447A TRINITY FAMILY HEALTH, INC
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Covered Entity Details
Entity Name
TRINITY FAMILY HEALTH, INC
Subdivision Name
Trinity Family Health Primary Care - Corbin
Type
Health Center Program Look-Alike
340B ID
FQHCLA447A
Entity Address
14949 N US Highway 25 E STE 3
Corbin, KY 40701-6285
Grant Number
LALCS49105
Participating Start Date
10/1/2023
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
9/8/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Dylan Day, Chief Operating Officer
(606) 515-2324
Contract Pharmacy Representative
Walmart
Van Donn, Director of Contracting 340b
(303) 261-5549
Signed By Date
7/14/2023
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