340B Drug Pricing Program Database
WAL-MART PHARMACY 10-0527
CAH451311-00 SWEENY HOSPITAL DISTRICT - information as of 4/29/2025 2:08:18 AM
Covered Entity Details
Entity Name
SWEENY HOSPITAL DISTRICT
Subdivision Name
SWEENY COMMUNITY HOSPITAL
Type
Critical Access Hospital
340B ID
CAH451311-00
Entity Address
305 N. MCKINNEY ST.
SWEENY, TX 77480
Medicare Provider Number
451311
Participating Start Date
9/10/2010
Last Recertification Date
8/12/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0527
Pharmacy Address
1801 N. VELASCO
ANGLETON, TX 77515
Pharmacy Comments
Contract Details
Approval Date
12/3/2012
Contract Begin Date
1/1/2013
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
WILLIAM BARNES, ADMINISTRATOR
(979) 548-1598
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
10/12/2012
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