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WALMART PHARMACY 10-5169
FQHCLA437 Muslim Community & Health Center
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Covered Entity Details
Entity Name
Muslim Community & Health Center
Subdivision Name
Muslim Community & Health Center
Type
Health Center Program Look-Alike
340B ID
FQHCLA437
Entity Address
803 W Layton Avenue
Milwaukee, WI 53221
Grant Number
LALCS46445
Participating Start Date
1/1/2023
Last Recertification Date
2/12/2025
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
7/17/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/17/2023
Agreement registered in error
Contacts
Covered Entity Signing Official
ARMAN TAHIR, CEO
(414) 254-1110
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
7/17/2023
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