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WAL-MART PHARMACY 10-3234
CH041279A RURAL HEALTH SERVICES CONSORTIUM
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Covered Entity Details
Entity Name
RURAL HEALTH SERVICES CONSORTIUM
Subdivision Name
ROAN MOUNTAIN MEDICAL CENTER
Type
HRSA-Funded Health Center
340B ID
CH041279A
Entity Address
152 HIGHWAY 143
ROAN MOUNTAIN, TN 37687
Grant Number
H80CS00421
Participating Start Date
12/1/1992
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-3234
Pharmacy Address
4331 HIGHWAY 66
ROGERSVILLE, TN 37857
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
LINDA W. BUCK, CHIEF EXECUTIVE OFFICER
(423) 272-9163 Ext: 8901
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
10/16/2023
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