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WAL-MART PHARMACY 10-0009
CH07137AA Southeast Missouri Health Network
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Covered Entity Details
Entity Name
Southeast Missouri Health Network
Subdivision Name
SEMO Health Network Benton Corporate Office
Type
HRSA-Funded Health Center
340B ID
CH07137AA
Entity Address
6738 State Highway 77
Benton, MO 63736-8238
Grant Number
H80CS00557
Participating Start Date
1/1/2022
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0009
Pharmacy Address
1303 S MAIN ST
SIKESTON, MO 63801
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
CHRIS JONES, CEO
(573) 313-2501
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
10/13/2023
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