340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-2074
CH101289A MAT SU HEALTH SERVICES INC
Print
Covered Entity Details
Entity Name
MAT SU HEALTH SERVICES INC
Subdivision Name
Burchell High School
Type
HRSA-Funded Health Center
340B ID
CH101289A
Entity Address
1775 W PARKS HWY
WASILLA, AK 99654-6935
Grant Number
H80CS04435
Participating Start Date
4/1/2016
Last Recertification Date
2/5/2021
Entity Termination Date
4/1/2022
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-2074
Pharmacy Address
1350 SO. SEWARD MERIDIAN PKWY
WASILLA, AK 99654
Pharmacy Comments
Contract Details
Approval Date
4/17/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2022
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Kevin Munson, Chief Executive Officer
(907) 376-2411
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
4/17/2020
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