Contract Pharmacy Details

WAL-MART CENTRAL FILL 10-2670
CH0216220 OCEAN HEALTH INITIATIVES

Covered Entity Details

Entity Name

OCEAN HEALTH INITIATIVES

Subdivision Name

OCEAN HEALTH INITIATIVES LAKEWOOD SITE

Type

HRSA-Funded Health Center

340B ID

CH0216220

Entity Address

101 2nd St
Lakewood, NJ 08701-3324

Grant Number

H80CS06656

Participating Start Date

10/1/2004

Last Recertification Date

2/10/2025

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

1/21/2020

Contract Begin Date

4/1/2020

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/1/2020
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

THERESA BERGER, CEO
(732) 363-6655

Contract Pharmacy Representative

Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498

Signed By Date

1/21/2020

340B Drug Pricing Program Database