340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-1792
CAH391315-00 Elk Regional Health Center
Print
Covered Entity Details
Entity Name
Elk Regional Health Center
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH391315-00
Entity Address
763 Johnsonburg RD
St. Marys, PA 15857
Medicare Provider Number
391315
Participating Start Date
1/1/2017
Last Recertification Date
8/12/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1792
Pharmacy Address
1102 MILLION DOLLAR HIGHWAY
ST MARY'S, PA 15857
Pharmacy Comments
Contract Details
Approval Date
1/17/2022
Contract Begin Date
4/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Laurie MacDonald, Chief Financial Officer
(814) 788-8743
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
1/17/2022
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