340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-3384
CAH451350-00 Castro County Health District DBA Plains Memorial Hospital
Print
Covered Entity Details
Entity Name
Castro County Health District DBA Plains Memorial Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH451350-00
Entity Address
310 W Halsell
Dimmitt, TX 79027-1846
Medicare Provider Number
451350
Participating Start Date
1/1/2012
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-3384
Pharmacy Address
300 WEST 15TH STREET
HEREFORD, TX 79045
Pharmacy Comments
Contract Details
Approval Date
1/3/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Elisha Rosier, CEO
(806) 647-2191 Ext: 8700
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
1/3/2023
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