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WALMART PHARMACY 10-5169
CHC00802-00 HARRINGTON FAMILY HEALTH CENTER INC
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Covered Entity Details
Entity Name
HARRINGTON FAMILY HEALTH CENTER INC
Subdivision Name
HARRINGTON FAMILY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CHC00802-00
Entity Address
50 E Main St
Harrington, ME 04643-3043
Grant Number
H80CS00802
Participating Start Date
7/1/2010
Last Recertification Date
2/13/2025
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
4/16/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Demee Manchester, Interim CEO
(207) 483-4502
Contract Pharmacy Representative
Walmart
Christian Nava, Senior Manager, Program Development-340B
(210) 632-0647
Signed By Date
4/16/2025
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