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WALMART PHARMACY 10-5169
CAH261303-00 Community Hospital Association
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Covered Entity Details
Entity Name
Community Hospital Association
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH261303-00
Entity Address
26136 US HWY 59 NORTH
FAIRFAX, MO 64446
Medicare Provider Number
261303
Participating Start Date
4/1/2013
Last Recertification Date
8/20/2024
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
1/7/2025
Contract Begin Date
4/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Julie L Jones, CEO
(660) 247-0110
Contract Pharmacy Representative
Walmart
Christian Nava, Senior Manager, Program Development-340B
(210) 632-0647
Signed By Date
1/7/2025
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