340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALMART PHARMACY 10-4653
CHC330723-01 UNIVERSITY OF WYOMING
Print
Covered Entity Details
Entity Name
UNIVERSITY OF WYOMING
Subdivision Name
University of Wyoming Family Medicine Residency Cheyenne
Type
HRSA-Funded Health Center
340B ID
CHC330723-01
Entity Address
820 E 17th St
Cheyenne, WY 82001-4775
Grant Number
H80CS30723
Participating Start Date
10/1/2017
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
WALMART PHARMACY 10-4653
Pharmacy Address
580 LIVINGSTON AVENUE
CHEYENNE, WY 82007
Pharmacy Comments
Contract Details
Approval Date
1/14/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Diana Grant Hulme, Associate Vice President Research
(307) 766-6811
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
1/14/2020
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