340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART CENTRAL FILL 10-2670
CHC26592-02 COASTAL COMMUNITY HEALTH SERVICES, INC.
Print
Covered Entity Details
Entity Name
COASTAL COMMUNITY HEALTH SERVICES, INC.
Subdivision Name
McIntosh Center
Type
HRSA-Funded Health Center
340B ID
CHC26592-02
Entity Address
6574 Shellman Bluff Road, NE
Townsend, GA 31331
Grant Number
H80CS26592
Participating Start Date
7/1/2017
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
WAL-MART CENTRAL FILL 10-2670
Pharmacy Address
608 SPRING HILL DR # 3 SUITE 300
SPRING, TX 77386
Pharmacy Comments
Contract Details
Approval Date
1/10/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/30/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Barbara Meyers, CEO
(912) 574-5074
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
1/10/2020
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