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Walmart Pharmacy 10-7611
CH0619510 STIGLER HEALTH AND WELLNESS CENTER, INC
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Covered Entity Details
Entity Name
STIGLER HEALTH AND WELLNESS CENTER, INC
Subdivision Name
HWC - Stigler
Type
HRSA-Funded Health Center
340B ID
CH0619510
Entity Address
1505 E. MAIN STREET
STIGLER, OK 74462
Grant Number
H80CS04286
Participating Start Date
4/1/2005
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
Walmart Pharmacy 10-7611
Pharmacy Address
2501 Perry Rd
Plainfield, IN 46168
Pharmacy Comments
Contract Details
Approval Date
10/6/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
TERESA HUGGINS, CEO
(918) 967-4828
Contract Pharmacy Representative
Walmart
Julie Howard, 340B Program Manager
(479) 277-1498
Signed By Date
10/6/2023
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