340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-5997
CH0614350 COMMUNITY ACTION CORPORATION OF SOUTH TEXAS
Print
Covered Entity Details
Entity Name
COMMUNITY ACTION CORPORATION OF SOUTH TEXAS
Subdivision Name
COMMUNITY ACTION CORPORATION OF SOUTH TEXAS
Type
HRSA-Funded Health Center
340B ID
CH0614350
Entity Address
204 E 1st St
Alice, TX 78332-4822
Grant Number
H80CS02323
Participating Start Date
4/1/2004
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-5997
Pharmacy Address
9600 PARKSOUTH CT. SUITE 100
ORLANDO, FL 32837
Pharmacy Comments
Contract Details
Approval Date
7/12/2017
Contract Begin Date
10/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ann Awalt, CEO
(361) 664-0145 Ext: 2024
Contract Pharmacy Representative
Healdsburg District Hospital
Kathi Phelps, Manager Contracting
(479) 277-3719
Signed By Date
7/12/2017
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