340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALMART PHARMACY 10-5791
RRC170006-00 Mercy Hospital Pittsburg, Inc.
Print
Covered Entity Details
Entity Name
Mercy Hospital Pittsburg, Inc.
Subdivision Name
Type
Rural Referral Center
340B ID
RRC170006-00
Entity Address
1 MT. CARMEL WAY
1102 EAST CENTENNIAL
PITTSBURG, KS 66762
Medicare Provider Number
170006
Participating Start Date
9/24/2010
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
WALMART PHARMACY 10-5791
Pharmacy Address
1011 E CENTENNIAL DRIVE
PITTSBURG, KS 66762
Pharmacy Comments
Contract Details
Approval Date
4/13/2021
Contract Begin Date
7/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/1/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Drew Kirkson Talbott, VP Operations
(620) 232-0110
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
4/13/2021
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