340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-0131
DSH450080 TITUS REGIONAL MEDICAL CENTER
Print
Covered Entity Details
Entity Name
TITUS REGIONAL MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH450080
Entity Address
2001 N. JEFFERSON
MT. PLEASANT, TX 75455
Medicare Provider Number
450080
Participating Start Date
7/1/2008
Last Recertification Date
8/30/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0131
Pharmacy Address
2311 S. JEFFERSON
MOUNT PLEASANT, TX 75455
Pharmacy Comments
Contract Details
Approval Date
7/15/2021
Contract Begin Date
8/4/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Terry Scoggin, CEO
(903) 577-6066
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
7/15/2021
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