Contract Pharmacy Details

WALMART PHARMACY #10-4488
CHC33795-05 Monterey, County Of

Covered Entity Details

Entity Name

Monterey, County Of

Subdivision Name

County of Monterey - Laurel Family Practice

Type

HRSA-Funded Health Center

340B ID

CHC33795-05

Entity Address

1441 Constitution Blvd, Bldg. 400 STE 300
Salinas, CA 93906-3134

Grant Number

H80CS33795

Participating Start Date

1/1/2020

Last Recertification Date

3/4/2025

Pharmacy Details

Pharmacy Name

WALMART PHARMACY #10-4488

Pharmacy Address

150 BEACH RD
MARINA, CA 93933

Pharmacy Comments

Contract Details

Approval Date

10/12/2021

Contract Begin Date

1/1/2022

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Prashant Shinde, Bureau Chief
(831) 796-1370

Contract Pharmacy Representative

Walmart
Craig Smith, RPh.
(479) 903-5739

Signed By Date

10/12/2021

340B Drug Pricing Program Database