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WAL-MART PHARMACY 10-0336
CH06273L MAINLINE HEALTH SYSTEMS INC
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Covered Entity Details
Entity Name
MAINLINE HEALTH SYSTEMS INC
Subdivision Name
Jimmy Brown Elementary - SCSD
Type
HRSA-Funded Health Center
340B ID
CH06273L
Entity Address
310 Ashley Avenue
Star City, AR 71667
Grant Number
H80CS00638
Participating Start Date
1/1/2018
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0336
Pharmacy Address
1308 SOUTH ROCK STREET
SHERIDAN, AR 72150
Pharmacy Comments
Contract Details
Approval Date
10/16/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
GARY ALLAN NICHOLS, Executive Director
(870) 538-5414
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
10/16/2023
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