340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-3218
CAH501319-00 LEWIS COUNTY HOSPITAL DISTRICT #1 DBA ARBOR HEALTH
Print
Covered Entity Details
Entity Name
LEWIS COUNTY HOSPITAL DISTRICT #1 DBA ARBOR HEALTH
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH501319-00
Entity Address
521 Adams Avenue
MORTON, WA 98356
Medicare Provider Number
501319
Participating Start Date
7/1/2011
Last Recertification Date
9/4/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-3218
Pharmacy Address
20307 MOUNTAIN HWY., EAST
SPANAWAY, WA 98387
Pharmacy Comments
Contract Details
Approval Date
7/15/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Richard Boggess, CHIEF FINANCIAL OFFICER
(360) 496-3647
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
7/15/2019
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