Contract Pharmacy Details

WAL-MART PHARMACY 10-0688
STD37204 Nashville CARES

Covered Entity Details

Entity Name

Nashville CARES

Subdivision Name

Type

Sexually Transmitted Diseases

340B ID

STD37204

Entity Address

442 Metroplex Dr.
Building D Suite 100
Nashville, TN 37211

Grant Number

NU62PS924701

Participating Start Date

7/22/2020

Last Recertification Date

5/16/2024

Pharmacy Details

Pharmacy Name

WAL-MART PHARMACY 10-0688

Pharmacy Address

5824 NOLENSVILLE PIKE
NASHVILLE, TN 37211

Pharmacy Comments

Contract Details

Approval Date

7/22/2020

Contract Begin Date

7/22/2020

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Amna Osman, CEO
(615) 762-6953

Contract Pharmacy Representative

Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498

Signed By Date

7/15/2020

340B Drug Pricing Program Database