340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-1630
DSH050280 MERCY MEDICAL CENTER, REDDING
Print
Covered Entity Details
Entity Name
MERCY MEDICAL CENTER, REDDING
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH050280
Entity Address
2175 ROSALINE AVENUE
REDDING, CA 96001-6009
Medicare Provider Number
050280
Participating Start Date
4/1/2006
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1630
Pharmacy Address
1906 FORT JONES ROAD
YREKA, CA 96097
Pharmacy Comments
Contract Details
Approval Date
1/15/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/12/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Joseph D'Angina, CFO
(530) 225-6121
Contract Pharmacy Representative
Walmart
Julie Howard, 340b Program Manager
(479) 739-1973 Ext: 4792771498
Signed By Date
1/15/2020
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