340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-1280
CHC28356-00 MARILLAC CLINIC, INC.
Print
Covered Entity Details
Entity Name
MARILLAC CLINIC, INC.
Subdivision Name
Marillac Clinic-Grand Junction
Type
HRSA-Funded Health Center
340B ID
CHC28356-00
Entity Address
2333 N 6TH ST
GRAND JUNCTION, CO 81501-2001
Grant Number
H80CS28356
Participating Start Date
10/1/2017
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1280
Pharmacy Address
2881 NORTH AVENUE
GRAND JUNCTION, CO 81501
Pharmacy Comments
Contract Details
Approval Date
10/9/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kay Ramachandran, CEO
(970) 298-2235
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
10/9/2019
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