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WALMART PHARMACY 10-5169
CHC28976-00 COASTAL BEND WELLNESS FOUNDATION, INC.
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Covered Entity Details
Entity Name
COASTAL BEND WELLNESS FOUNDATION, INC.
Subdivision Name
Coastal Bend Wellness Foundation
Type
HRSA-Funded Health Center
340B ID
CHC28976-00
Entity Address
2882 Holly Road
Corpus Christi, TX 78415-4106
Grant Number
H80CS28976
Participating Start Date
4/1/2016
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WALMART PHARMACY 10-5169
Pharmacy Address
2252 NORTH 8TH STREET
SUITE A
ROGERS, AR 72756
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
Bill Hoelscher, CEO
(361) 814-2001 Ext: 222
Contract Pharmacy Representative
Walmart
Julie Howard, 340B Program Manager
(479) 277-1498
Signed By Date
10/16/2023
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