340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-5047
FQHCLA365 OSBORN FAMILY HEALTH CENTER, INC., THE
Print
Covered Entity Details
Entity Name
OSBORN FAMILY HEALTH CENTER, INC., THE
Subdivision Name
Osborn Family Health Center
Type
Health Center Program Look-Alike
340B ID
FQHCLA365
Entity Address
1601 Haddon Avenue
Camden, NJ 08103-3109
Grant Number
LALCS31541
Participating Start Date
4/1/2018
Last Recertification Date
1/28/2020
Entity Termination Date
7/1/2020
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-5047
Pharmacy Address
130 BLACKHORSE PIKE
AUDUBON, NJ 08106
Pharmacy Comments
Contract Details
Approval Date
4/16/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2020
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Shawne Cuilla, Executive Director/CEO
(856) 757-3706
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
4/16/2019
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