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WAL-MART PHARMACY 10-1091
CH04895R SOUTHEAST ALABAMA RURAL HEALTH ASSOCIATE
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Covered Entity Details
Entity Name
SOUTHEAST ALABAMA RURAL HEALTH ASSOCIATE
Subdivision Name
Andalusia Family Health Center
Type
HRSA-Funded Health Center
340B ID
CH04895R
Entity Address
1021 Sanford Rd
Andalusia, AL 36420
Grant Number
H80CS00376
Participating Start Date
4/1/2025
Last Recertification Date
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1091
Pharmacy Address
1991 M.L. KING JR. EXPRESSWAY
ANDALUSIA, AL 36420
Pharmacy Comments
Contract Details
Approval Date
3/6/2025
Contract Begin Date
4/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Pamylon Bowers, CEO
(334) 670-6726
Contract Pharmacy Representative
Walmart
George Flaherty, Senior Director Payer Programs
(479) 204-9374
Signed By Date
3/6/2025
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