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WAL-MART PHARMACY 10-3331
CH06011R JEFFERSON COMPREHENSIVE CARE SYSTEM INC
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Covered Entity Details
Entity Name
JEFFERSON COMPREHENSIVE CARE SYSTEM INC
Subdivision Name
ARKANSAS BAPTIST COLLEGE CLINIC
Type
HRSA-Funded Health Center
340B ID
CH06011R
Entity Address
1724 South Bishop Street
Little Rock, AR 72202-6022
Grant Number
H80CS00727
Participating Start Date
1/1/2024
Last Recertification Date
3/7/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-3331
Pharmacy Address
5501 SOUTH OLIVE ST
PINE BLUFF, AR 71603
Pharmacy Comments
Contract Details
Approval Date
10/13/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Sandra J. Brown, Chief Executive Officer
(870) 543-2300
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
10/12/2023
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