340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-1466
CH042160 DAYSPRING HEALTH, INC.
Print
Covered Entity Details
Entity Name
DAYSPRING HEALTH, INC.
Subdivision Name
DAYSPRING HEALTH, INC.
Type
HRSA-Funded Health Center
340B ID
CH042160
Entity Address
107 S Main St
Jellico, TN 37762-2154
Grant Number
H80CS00716
Participating Start Date
10/1/1996
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1466
Pharmacy Address
2824 APPALACHIAN HWY.
JACKSBORO (LAFOLLETTE), TN 37757
Pharmacy Comments
Contract Details
Approval Date
10/5/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Lawrence Michael Rector, COO/CFO
(423) 784-8492 Ext: 221
Contract Pharmacy Representative
Walmart
Julie Howard, 340B Program Manager
(479) 277-1498
Signed By Date
10/5/2019
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