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WAL-MART PHARMACY WHSE #45
CH042850 RURAL HEALTH MEDICAL PROGRAM, INC.
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Covered Entity Details
Entity Name
RURAL HEALTH MEDICAL PROGRAM, INC.
Subdivision Name
Rural Health Medical Program, Inc.-Selma Health Center & Administrative Office
Type
HRSA-Funded Health Center
340B ID
CH042850
Entity Address
101 PARK PLACE
SELMA, AL 36701
Grant Number
H80CS00794
Participating Start Date
1/1/2003
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY WHSE #45
Pharmacy Address
2250 NORTH 8TH STREET
SUITE 102-A
ROGERS, AR 72756
Pharmacy Comments
Contract Details
Approval Date
1/24/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
KESHEE Danee DOZIER-SMITH, CEO
(334) 874-7428 Ext: 121
Contract Pharmacy Representative
Walmart
Van Donn, Director of Contracting 340b
(303) 261-5549
Signed By Date
1/24/2024
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