Contract Pharmacy Details

WAL-MART PHARMACY 10-1993
CH02018F OAK ORCHARD COMMUNITY HEALTH CENTER, INC.

Covered Entity Details

Entity Name

OAK ORCHARD COMMUNITY HEALTH CENTER, INC.

Subdivision Name

Oak Orchard Community Health Center, Inc.

Type

HRSA-Funded Health Center

340B ID

CH02018F

Entity Address

81 S Main St
Warsaw, NY 14569-1571

Grant Number

H80CS00170

Participating Start Date

1/1/2014

Last Recertification Date

2/11/2025

Pharmacy Details

Pharmacy Name

WAL-MART PHARMACY 10-1993

Pharmacy Address

6265 BROCKPORT SPENCERPORT RD
BROCKPORT, NY 14420

Pharmacy Comments

Contract Details

Approval Date

1/11/2023

Contract Begin Date

4/1/2023

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Emily Miller, CFO
(585) 637-3905

Contract Pharmacy Representative

Walmart
Julie Howard, 340b Program Manager
(479) 739-1973 Ext: 4792771498

Signed By Date

1/11/2023

340B Drug Pricing Program Database