340B Drug Pricing Program Database
WAL-MART PHARMACY 10-5997
CH0516380 HEALTH PARTNERS OF WESTERN OHIO - information as of 5/14/2025 11:14:09 PM
Covered Entity Details
Entity Name
HEALTH PARTNERS OF WESTERN OHIO
Subdivision Name
Dr.Gene Wright Community Health Center
Type
HRSA-Funded Health Center
340B ID
CH0516380
Entity Address
441 E 8th St,
Lima, OH 45804-2482
Grant Number
H80CS04212
Participating Start Date
1/1/2005
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-5997
Pharmacy Address
9600 PARKSOUTH CT. SUITE 100
ORLANDO, FL 32837
Pharmacy Comments
Contract Details
Approval Date
7/12/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/8/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Jennifer Clark, CPHO
(419) 221-3072 Ext: 1600
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
7/12/2019
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session