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WAL-MART PHARMACY 10-0071
CH06372G 1st Choice Healthcare, Inc.
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Covered Entity Details
Entity Name
1st Choice Healthcare, Inc.
Subdivision Name
1st Choice Healthcare, Inc. Corporate Office
Type
HRSA-Funded Health Center
340B ID
CH06372G
Entity Address
1001 N MISSOURI AVE
CORNING, AR 72422-7011
Grant Number
H80CS00537
Participating Start Date
4/1/2023
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0071
Pharmacy Address
1415 HWY 67 SOUTH
POCAHONTAS, AR 72455
Pharmacy Comments
Contract Details
Approval Date
10/11/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
BRIGITTE MCDONALD, Chief Executive Officer
(870) 857-3334 Ext: 302
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
10/11/2023
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