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WAL-MART PHARMACY 10-0030
CH07137X Southeast Missouri Health Network
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Covered Entity Details
Entity Name
Southeast Missouri Health Network
Subdivision Name
Sikeston Alternative Education Center Clinic
Type
HRSA-Funded Health Center
340B ID
CH07137X
Entity Address
835 W Murray Ln
Sikeston, MO 63801-4056
Grant Number
H80CS00557
Participating Start Date
1/1/2022
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0030
Pharmacy Address
2025 W. BUSINESS HIGHWAY 60 WEST
DEXTER, MO 63841
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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