340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-2473
FP967204 BAY CLINIC INC
Print
Covered Entity Details
Entity Name
BAY CLINIC INC
Subdivision Name
Hilo Women's Health Center
Type
Family Planning (Title X only)
340B ID
FP967204
Entity Address
73 Puuhonu Place, Ste. 204
Hilo, HI 96720
Grant Number
FPHPA090326
Participating Start Date
7/1/2011
Last Recertification Date
5/9/2022
Entity Termination Date
7/1/2023
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-2473
Pharmacy Address
325 MAKAALA STREET
HILO, HI 96720
Pharmacy Comments
Contract Details
Approval Date
7/3/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/10/2019
Agreement registered in error
Contacts
Covered Entity Signing Official
Youlsau Bells, Interim Chief Executive Officer
(808) 961-4078
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
7/3/2019
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