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WAL-MART PHARMACY 10-0070
CH060140 EAST ARKANSAS FAMILY HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
EAST ARKANSAS FAMILY HEALTH CENTER, INC.
Subdivision Name
East Arkansas Family Health Center, Inc.
Type
HRSA-Funded Health Center
340B ID
CH060140
Entity Address
900 North 7th St
West Memphis, AR 72301-3550
Grant Number
H80CS00123
Participating Start Date
12/1/1992
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0070
Pharmacy Address
798 WEST SERVICE ROAD
WEST MEMPHIS, AR 72301
Pharmacy Comments
Contract Details
Approval Date
4/23/2014
Contract Begin Date
7/1/2014
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Susan Ward-Jones, CEO
(870) 732-6520
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
4/23/2014
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