340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-3494
CH091520 MOUNTAIN HEALTH & COMMUNITY SERVICES, INC.
Print
Covered Entity Details
Entity Name
MOUNTAIN HEALTH & COMMUNITY SERVICES, INC.
Subdivision Name
Mountain Empire Family Medicine
Type
HRSA-Funded Health Center
340B ID
CH091520
Entity Address
31115 HIGHWAY 94
Campo, CA 91906-3133
Grant Number
H80CS00284
Participating Start Date
10/1/2002
Last Recertification Date
2/7/2020
Entity Termination Date
7/1/2020
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-3494
Pharmacy Address
732 CENTER DR
SAN MARCOS, CA 92069
Pharmacy Comments
Contract Details
Approval Date
9/21/2012
Contract Begin Date
9/21/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/28/2018
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Judith Shaplin, CEO
(619) 445-6200
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
8/23/2012
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