340B Drug Pricing Program Database
WAL-MART PHARMACY 10-4487
CH0438590 NEIGHBORHOOD IMPROVEMENT PROJECT, INC. - information as of 4/29/2025 1:10:49 AM
Covered Entity Details
Entity Name
NEIGHBORHOOD IMPROVEMENT PROJECT, INC.
Subdivision Name
Medical Associates Plus @ Belle Terrace
Type
HRSA-Funded Health Center
340B ID
CH0438590
Entity Address
2467 Golden Camp Rd
Augusta, GA 30906-5515
Grant Number
H80CS08751
Participating Start Date
10/14/2008
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-4487
Pharmacy Address
WAL-MART STORES EAST, LP
3581 RICHLAND AVENUE SW
AIKEN, SC 29801
Pharmacy Comments
Contract Details
Approval Date
4/11/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Wesley Wood, CFO
(706) 790-4440 Ext: 100
Contract Pharmacy Representative
Walmart
Julie Howard, 340B Program Manager
(479) 277-1498
Signed By Date
4/11/2025
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