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WALMART PHARMACY 10-5169
CAH191318-00 Concordia Parish Hospital Service District 1 DBA Trinity Medical
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Covered Entity Details
Entity Name
Concordia Parish Hospital Service District 1 DBA Trinity Medical
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH191318-00
Entity Address
6569 Hwy 84
Ferriday, LA 71334
Medicare Provider Number
191318
Participating Start Date
10/1/2011
Last Recertification Date
8/27/2024
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
4/8/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Nekeisha Smith, CEO
(318) 757-6551 Ext: 612
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
4/8/2024
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