340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-0313
CHC24105-05 COMMUNITY TREATMENT INCORPORATED
Print
Covered Entity Details
Entity Name
COMMUNITY TREATMENT INCORPORATED
Subdivision Name
Community Treatment, Inc - Northwest
Type
HRSA-Funded Health Center
340B ID
CHC24105-05
Entity Address
1817 Gravois Rd
High Ridge, MO 63049-2668
Grant Number
H80CS24105
Participating Start Date
1/1/2015
Last Recertification Date
1/30/2023
Entity Termination Date
1/1/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0313
Pharmacy Address
2700 RIDGE POINT DR
HIGH RIDGE, MO 63049
Pharmacy Comments
Contract Details
Approval Date
7/16/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Amy Rhodes, CFO
(636) 232-2341
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
7/16/2018
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