340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALMART PHARMACY 10-4367
CH062793Q East Texas Border Health Clinic
Print
Covered Entity Details
Entity Name
East Texas Border Health Clinic
Subdivision Name
East Texas Border Health Clinic dba Genesis PrimeCare Texarkana
Type
HRSA-Funded Health Center
340B ID
CH062793Q
Entity Address
1400 College Drive
Texarkana, TX 75503-3534
Grant Number
H80CS08781
Participating Start Date
10/1/2020
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WALMART PHARMACY 10-4367
Pharmacy Address
3302 SUMMERHILL ROAD
TEXARKANA, TX 75503
Pharmacy Comments
Contract Details
Approval Date
1/9/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Carla Roadcap, CEO
(903) 927-3782
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
1/9/2023
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