Contract Pharmacy Details

WAL-MART PHARMACY 10-1893
RWI207741 Heart to Hand, Inc.

Covered Entity Details

Entity Name

Heart to Hand, Inc.

Subdivision Name

Type

Ryan White Part A

340B ID

RWI207741

Entity Address

9701 Apollo Drive, suite 400
Largo, MD 20774

Grant Number

H89HA00012

Participating Start Date

4/1/2013

Last Recertification Date

3/3/2025

Pharmacy Details

Pharmacy Name

WAL-MART PHARMACY 10-1893

Pharmacy Address

3300 NW CRAIN HWY
BOWIE, MD 20716

Pharmacy Comments

Contract Details

Approval Date

4/15/2022

Contract Begin Date

5/17/2022

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Dedra Spears Johnson, Executive Director
(301) 772-0103

Contract Pharmacy Representative

Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498

Signed By Date

4/15/2022

340B Drug Pricing Program Database