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Walmart Pharmacy 10-7611
CHC12887-00 ARKANSAS VERDIGRIS VALLEY HEALTH CENTERS INC
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Covered Entity Details
Entity Name
ARKANSAS VERDIGRIS VALLEY HEALTH CENTERS INC
Subdivision Name
Arkansas Verdgris Valley Health Center
Type
HRSA-Funded Health Center
340B ID
CHC12887-00
Entity Address
505 S Main
Porter, OK 74454-0334
Grant Number
H80CS12887
Participating Start Date
4/1/2011
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
Walmart Pharmacy 10-7611
Pharmacy Address
2501 Perry Rd
Plainfield, IN 46168
Pharmacy Comments
Contract Details
Approval Date
4/15/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Sonya Smith, Chief Executive Officer
(918) 483-0111
Contract Pharmacy Representative
Walmart
Julie Howard, 340B Program Manager
(479) 277-1498
Signed By Date
4/15/2024
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