Contract Pharmacy Details

WAL-MART CENTRAL FILL 10-2670
CH037920 RITCHIE COUNTY PRIMARY CARE ASSOCIATION, INC

Covered Entity Details

Entity Name

RITCHIE COUNTY PRIMARY CARE ASSOCIATION, INC

Subdivision Name

Type

HRSA-Funded Health Center

340B ID

CH037920

Entity Address

135 SOUTH PENN AVE
HARRISVILLE, WV 26362

Grant Number

H80CS00843

Participating Start Date

1/1/2004

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

4/2/2020

Contract Begin Date

7/1/2020

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

MaryBeth b McDougal, CFO
(304) 643-4005

Contract Pharmacy Representative

WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498

Signed By Date

4/2/2020

340B Drug Pricing Program Database