340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-0204
CAH181320-00 Livingston Hospital and Healthcare Services, Inc.
Print
Covered Entity Details
Entity Name
Livingston Hospital and Healthcare Services, Inc.
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH181320-00
Entity Address
131 Hospital Drive
Salem, KY 42078
Medicare Provider Number
181320
Participating Start Date
7/1/2014
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0204
Pharmacy Address
1500 US 62 WEST
PRINCETON, KY 42445
Pharmacy Comments
Contract Details
Approval Date
10/15/2018
Contract Begin Date
1/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Elizabeth A Snodgrass, CEO
(270) 988-7235
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
10/15/2018
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