340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-0338
DSH260061 NEVADA CITY HOSPITAL
Print
Covered Entity Details
Entity Name
NEVADA CITY HOSPITAL
Subdivision Name
DBA NEVADA REGIONAL MEDICAL CENTER
Type
Disproportionate Share Hospital
340B ID
DSH260061
Entity Address
800 SOUTH ASH STREET
NEVADA, MO 64772
Medicare Provider Number
260061
Participating Start Date
7/1/2009
Last Recertification Date
9/4/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0338
Pharmacy Address
29 SOUTHWEST FIRST LN
LAMAR, MO 64759
Pharmacy Comments
Contract Details
Approval Date
4/13/2022
Contract Begin Date
6/13/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Dana White, Chief Financial Officer
(417) 448-3711
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
4/13/2022
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