340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-1038
CHC12884-00 OPEN DOOR HEALTH CENTER
Print
Covered Entity Details
Entity Name
OPEN DOOR HEALTH CENTER
Subdivision Name
Open Door Health Center
Type
HRSA-Funded Health Center
340B ID
CHC12884-00
Entity Address
309 Holly Lane
Mankato, MN 56001-5422
Grant Number
H80CS12884
Participating Start Date
7/1/2017
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1038
Pharmacy Address
2103 STATE ST. N.
WASECA, MN 56093
Pharmacy Comments
Contract Details
Approval Date
10/13/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Lisa Soupir, COO
(507) 344-5502
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
10/13/2021
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