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WAL-MART PHARMACY 10-0489
CH0618980 Rkm Primary Care
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Covered Entity Details
Entity Name
Rkm Primary Care
Subdivision Name
RKM Primary Care
Type
HRSA-Funded Health Center
340B ID
CH0618980
Entity Address
11990 JACKSON STREET
CLINTON, LA 70722
Grant Number
H80CS06459
Participating Start Date
9/9/2005
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0489
Pharmacy Address
2799 W THOMAS STREET
HAMMOND, LA 70401
Pharmacy Comments
Contract Details
Approval Date
7/9/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Christi C. Hunt, CEO
(225) 683-5292 Ext: 10203
Contract Pharmacy Representative
Walmart
Julie Howard, 340B Program Manager
(479) 277-1498
Signed By Date
7/9/2024
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