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WALMART PHARMACY 10-7199
UI59401 INDIAN FAMILY HEALTH CLINIC
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Covered Entity Details
Entity Name
INDIAN FAMILY HEALTH CLINIC
Subdivision Name
Type
Urban Indian
340B ID
UI59401
Entity Address
1220 CENTRAL AVENUE
SUITE #1B
GREAT FALLS, MT 59401
Grant Number
Participating Start Date
7/1/2019
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WALMART PHARMACY 10-7199
Pharmacy Address
5320 10TH AVE S
GREAT FALLS, MT 59405
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
Rachel Marie Arthur, Executive Director
(406) 268-1510
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
7/15/2024
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