340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-5326
RRC100062-00 AdventHealth Ocala
Print
Covered Entity Details
Entity Name
AdventHealth Ocala
Subdivision Name
Type
Rural Referral Center
340B ID
RRC100062-00
Entity Address
1500 SW 1st Ave
Ocala, FL 34471
Medicare Provider Number
100062
Participating Start Date
7/1/2019
Last Recertification Date
8/27/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-5326
Pharmacy Address
9570 SW HIGHWAY 200
OCALA (SW), FL 34481
Pharmacy Comments
Contract Details
Approval Date
4/14/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/28/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Frances H Crunk, CFO
(352) 401-8498
Contract Pharmacy Representative
Walmart
Julie Howard, 340B Program Manager
(479) 277-1498
Signed By Date
4/14/2020
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