Contract Pharmacy Details

WAL-MART PHARMACY 10-2575
CH060940 ARCARE

Covered Entity Details

Entity Name

ARCARE

Subdivision Name

ARcare Corporate Office

Type

HRSA-Funded Health Center

340B ID

CH060940

Entity Address

117 S 2nd St
Augusta, AR 72006-2309

Grant Number

H80CS00207

Participating Start Date

4/1/2006

Last Recertification Date

2/18/2025

Pharmacy Details

Pharmacy Name

WAL-MART PHARMACY 10-2575

Pharmacy Address

3900 DAVE WARD DRIVE
CONWAY (SOUTH), AR 72032

Pharmacy Comments

Contract Details

Approval Date

4/2/2018

Contract Begin Date

7/1/2018

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

TALMAGE J. WHITEHEAD, President/CFO
(870) 347-3414

Contract Pharmacy Representative

Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498

Signed By Date

4/2/2018

340B Drug Pricing Program Database