Contract Pharmacy Details

WAL-MART PHARMACY 10-0688
RWI37204 Nashville CARES

Covered Entity Details

Entity Name

Nashville CARES

Subdivision Name

Type

Ryan White Part A

340B ID

RWI37204

Entity Address

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

Grant Number

H89HA11433

Participating Start Date

4/28/2021

Last Recertification Date

3/4/2025

Pharmacy Details

Pharmacy Name

WAL-MART PHARMACY 10-0688

Pharmacy Address

5824 NOLENSVILLE PIKE
NASHVILLE, TN 37211

Pharmacy Comments

Contract Details

Approval Date

4/28/2021

Contract Begin Date

4/28/2021

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

4/15/2021

340B Drug Pricing Program Database