340B Drug Pricing Program Database
WAL-MART PHARMACY 10-1163
DSH190046 TOURO INFIRMARY - information as of 4/24/2025 1:02:00 AM
Covered Entity Details
Entity Name
TOURO INFIRMARY
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH190046
Entity Address
1401 FOUCHER STREET
NEW ORLEANS, LA 70115
Medicare Provider Number
190046
Participating Start Date
4/1/2006
Last Recertification Date
9/5/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1163
Pharmacy Address
4001 BEHRMAN HWY
NEW ORLEANS, LA 70114
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
Candace Robinson, Chief Medical Officer
(504) 897-8246
Contract Pharmacy Representative
Walmart
Nick Tallman, Sr. Director, Merchandise Operations – Pharmacy
(479) 371-0417
Signed By Date
4/11/2025
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