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WAL-MART PHARMACY 10-0318
CHC00342-00 CABUN RURAL HEALTH SERVICES, INC
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Covered Entity Details
Entity Name
CABUN RURAL HEALTH SERVICES, INC
Subdivision Name
CABUN Rural Health Services, Inc.
Type
HRSA-Funded Health Center
340B ID
CHC00342-00
Entity Address
402 LEE ST
HAMPTON, AR 71744
Grant Number
H80CS00342
Participating Start Date
10/1/2009
Last Recertification Date
2/21/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0318
Pharmacy Address
109 W.P. MALONE DRIVE
ARKADELPHIA, AR 71923
Pharmacy Comments
Contract Details
Approval Date
4/15/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
MELANIE SHEPPARD, CEO
(870) 798-4064 Ext: 2227
Contract Pharmacy Representative
Walmart
Nick Tallman, Sr. Director, Merchandise Operations – Pharmacy
(479) 371-0417
Signed By Date
4/15/2025
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