340B Drug Pricing Program Database

Office of Pharmacy Affairs Logo
Effective Sunday, September 1, OPA is implementing a change to the export format for Medicaid and NPI numbers. This change affects covered entity exports that include Medicaid and/or NPI billing numbers, and the CE Daily Report in Excel format. If the number is associated with more than one state, all the states will be listed between one set of parentheses following the number - for example, 1275575227 (IN,MI,OH). This change is necessary to ensure that the exported data does not exceed Excel’s limit for field length.

WAL-MART PHARMACY 10-5997
CAH031301-00 BENSON HOSPITAL

Covered Entity Details

Critical Access Hospital
CAH031301-00
450 S. OCOTILLO
BENSON, AZ 85602-2990
031301
7/1/2019
8/15/2024


Pharmacy Details

9600 PARKSOUTH CT. SUITE 100
ORLANDO, FL 32837

Contract Details

10/5/2020
1/1/2021


Contacts


Teresa Vincifora, COO
(520) 720-6510



Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
10/5/2020