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WAL-MART PHARMACY 10-0250
CHC24137-01 Ozarks Resource Group
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Covered Entity Details
Entity Name
Ozarks Resource Group
Subdivision Name
OCHC - Hermitage Dental Clinic
Type
HRSA-Funded Health Center
340B ID
CHC24137-01
Entity Address
18753 Spring St.
Hermitage, MO 65668
Grant Number
H80CS24137
Participating Start Date
1/1/2015
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0250
Pharmacy Address
103 W POLK ST
WARSAW, MO 65355
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
Scott Crouch, CEO
(417) 745-2121
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
10/13/2023
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