340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-2241
CAH501330-00 ASTRIA SUNNYSIDE HOSPITAL
Print
Covered Entity Details
Entity Name
ASTRIA SUNNYSIDE HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH501330-00
Entity Address
1016 TACOMA AVE
SUNNYSIDE, WA 98944
Medicare Provider Number
501330
Participating Start Date
1/1/2020
Last Recertification Date
8/27/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-2241
Pharmacy Address
2675 EAST LINCOLN AVENUE
SUNNYSIDE, WA 98944
Pharmacy Comments
Contract Details
Approval Date
7/17/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2019
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Cary Rowan, CFO
(509) 837-1655
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
7/17/2018
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