340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-2145
DSH390049 ST. LUKES HOSPITAL
Print
Covered Entity Details
Entity Name
ST. LUKES HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH390049
Entity Address
801 OSTRUM STREET
BETHLEHEM, PA 18015
Medicare Provider Number
390049
Participating Start Date
1/1/2022
Last Recertification Date
8/21/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-2145
Pharmacy Address
2601 MACARTHUR RD
WHITEHALL, PA 18052
Pharmacy Comments
Contract Details
Approval Date
11/10/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Elizabeth Artis, Finance Director
(484) 526-4707
Contract Pharmacy Representative
Walmart
Julie Howard, 340B Program Manager
(479) 277-1498
Signed By Date
10/14/2021
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