340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART CENTRAL FILL 10-2670
FQHCLA346C Highland Health Providers Corporation
Print
Covered Entity Details
Entity Name
Highland Health Providers Corporation
Subdivision Name
Highland Health Providers - Greenfield Medical Services
Type
Health Center Program Look-Alike
340B ID
FQHCLA346C
Entity Address
1092 W. Jefferson Street
Greenfield, OH 45123
Grant Number
LALCS00180
Participating Start Date
7/1/2018
Last Recertification Date
2/10/2020
Entity Termination Date
7/1/2020
Pharmacy Details
Pharmacy Name
WAL-MART CENTRAL FILL 10-2670
Pharmacy Address
608 SPRING HILL DR # 3 SUITE 300
SPRING, TX 77386
Pharmacy Comments
Contract Details
Approval Date
1/14/2019
Contract Begin Date
4/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2020
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Amanda M Warix, Executive Director
(937) 393-5753
Contract Pharmacy Representative
Wal-mart
Laura Levine, Manager Contracting
(479) 204-8550
Signed By Date
1/14/2019
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