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WALMART PHARMACY 10-5169
NH5022A Hui Malama Ola Na Oiwi
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Covered Entity Details
Entity Name
Hui Malama Ola Na Oiwi
Subdivision Name
Family Medicine Clinic
Type
Native Hawaiian Health Care Program
340B ID
NH5022A
Entity Address
82 Puuhonu Place
STE 209
Hilo, HI 96720
Grant Number
H1CCS00013
Participating Start Date
4/1/2020
Last Recertification Date
2/10/2025
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
10/3/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Tripler Kanoa Ng, Interim Executive Director
(808) 365-5659
Contract Pharmacy Representative
PharmaForce
Justin Ross Rolling, Sales Executive
(205) 777-8521
Signed By Date
10/3/2023
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