340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-2656
CH06033R EL CENTRO FAMILY HEALTH
Print
Covered Entity Details
Entity Name
EL CENTRO FAMILY HEALTH
Subdivision Name
RIO ARRIBA HEALTH COMMONS
Type
HRSA-Funded Health Center
340B ID
CH06033R
Entity Address
2010 INDUSTRIAL PARK ROAD
ESPANOLA, NM 87532
Grant Number
H80CS00605
Participating Start Date
1/1/2011
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-2656
Pharmacy Address
1610 N RIVERSIDE DRIVE
ESPANOLA, NM 87532
Pharmacy Comments
Contract Details
Approval Date
4/6/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Lore Pease, CEO
(505) 753-7218
Contract Pharmacy Representative
Walmart
Julie Howard, 340B Program Manager
(479) 277-1498
Signed By Date
4/6/2020
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