340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-1396
CAH521351-00 REEDSBURG AREA MEDICAL CENTER
Print
Covered Entity Details
Entity Name
REEDSBURG AREA MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH521351-00
Entity Address
2000 N DEWEY AVE
REEDSBURG, WI 53959
Medicare Provider Number
521351
Participating Start Date
1/1/2011
Last Recertification Date
8/30/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1396
Pharmacy Address
920 HIGHWAY 12
BARABOO, WI 53913
Pharmacy Comments
Contract Details
Approval Date
4/8/2021
Contract Begin Date
7/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
ROBERT VANMEETEREN, CEO/PRESIDENT
(608) 524-6487
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
4/8/2021
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