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WAL-MART PHARMACY 10-1778
CH046860 ACCESS FAMILY HEALTH SERVICES, INC.
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Covered Entity Details
Entity Name
ACCESS FAMILY HEALTH SERVICES, INC.
Subdivision Name
Access Family Health Services-Smithville
Type
HRSA-Funded Health Center
340B ID
CH046860
Entity Address
60021 MONROE ST
Smithville, MS 38870-9700
Grant Number
H80CS00633
Participating Start Date
1/1/2000
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1778
Pharmacy Address
321 YELLOWSTONE AVENUE
CODY, WY 82414
Pharmacy Comments
Contract Details
Approval Date
4/11/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
MARILYN SUMERFORD, CEO
(662) 651-4686 Ext: 8103
Contract Pharmacy Representative
Walmart
Julie Howard, 340b Program Manager
(479) 739-1973 Ext: 4792771498
Signed By Date
4/11/2024
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