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WALMART PHARMACY 10-5169
CH081890 COMMUNITY HEALTH CENTER OF THE BLACK HILLS, INC.
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Covered Entity Details
Entity Name
COMMUNITY HEALTH CENTER OF THE BLACK HILLS, INC.
Subdivision Name
Type
HRSA-Funded Health Center
340B ID
CH081890
Entity Address
350 Pine Street
RAPID CITY, SD 57701
Grant Number
H80CS00216
Participating Start Date
1/1/2007
Last Recertification Date
2/12/2025
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
7/15/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Gary L Meyers, Pharmacy Director
(605) 716-5509
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
7/15/2024
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