340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-0583
CH04144D MOUNTAIN PEOPLES HEALTH COUNCILS INC
Print
Covered Entity Details
Entity Name
MOUNTAIN PEOPLES HEALTH COUNCILS INC
Subdivision Name
HIGHLAND HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH04144D
Entity Address
715 RUGBY HWY
ROBBINS, TN 37852-3721
Grant Number
H80CS00467
Participating Start Date
4/1/2008
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0583
Pharmacy Address
19740 ALBERTA STREET
ONEIDA, TN 37841
Pharmacy Comments
Contract Details
Approval Date
12/21/2022
Contract Begin Date
12/21/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
JAMES C. LOVETT, CEO
(423) 286-4141 Ext: 30
Contract Pharmacy Representative
Walmart
Van Donn, Director of Contracting 340b
(303) 261-5549
Signed By Date
12/21/2022
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