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WAL-MART PHARMACY 10-0098
STD712632 Oak Grove Medical Clinic
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Covered Entity Details
Entity Name
Oak Grove Medical Clinic
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD712632
Entity Address
708 East Main Street
Oak Grove, LA 71263
Grant Number
NH25PS005176
Participating Start Date
10/1/2024
Last Recertification Date
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0098
Pharmacy Address
6091 MER ROUGE RD., HWY 165
BASTROP, LA 71220
Pharmacy Comments
Contract Details
Approval Date
10/15/2024
Contract Begin Date
11/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Amanda D Grey, COO
(318) 428-3237
Contract Pharmacy Representative
Walmart
Nick Tallman, Sr. Director, Merchandise Operations – Pharmacy
(479) 371-0417
Signed By Date
10/15/2024
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