340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-1850
DSH210001A MERITUS MEDICAL CENTER
Print
Covered Entity Details
Entity Name
MERITUS MEDICAL CENTER
Subdivision Name
John R Marsh Cancer Center - Outpatient Oncology/Infusion Center
Type
Disproportionate Share Hospital
340B ID
DSH210001A
Entity Address
Ste 129, 11110 Medical Campus Rd
129
Hagerstown, MD 21742
Medicare Provider Number
210001
Outpatient Facility Provider Number
Participating Start Date
7/1/2018
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1850
Pharmacy Address
1730 LINCOLN WAY EAST
CHAMBERSBURG, PA 17201
Pharmacy Comments
03/26/2012 changed zip (was 17201)
Contract Details
Approval Date
4/15/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/5/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Tom T Chan, CFO
(301) 790-8101
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
4/15/2020
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