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WAL-MART PHARMACY 10-0604
CH048950 SE ALABAMA RURAL HEALTH ASSOCIATES (SARHA)
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Covered Entity Details
Entity Name
SE ALABAMA RURAL HEALTH ASSOCIATES (SARHA)
Subdivision Name
Administrative Offices
Type
HRSA-Funded Health Center
340B ID
CH048950
Entity Address
1414 Elba Hwy
Troy, AL 36079-6020
Grant Number
H80CS00376
Participating Start Date
7/1/1996
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0604
Pharmacy Address
4310 MONTGOMERY HWY
DOTHAN, AL 36303
Pharmacy Comments
Contract Details
Approval Date
4/13/2018
Contract Begin Date
7/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
JOHN A. LITTLE, CEO
(334) 670-6726
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
4/13/2018
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