340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALMART PHARMACY 10-5169
CH0452880 TRIAD HEALTH SYSTEM INC
Print
Covered Entity Details
Entity Name
TRIAD HEALTH SYSTEM INC
Subdivision Name
TRIAD HEALTH SYSTEMS CHC
Type
HRSA-Funded Health Center
340B ID
CH0452880
Entity Address
441 US Highway 42 West
Warsaw, KY 41095-9323
Grant Number
H80CS08785
Participating Start Date
7/1/2008
Last Recertification Date
2/25/2025
Pharmacy Details
Pharmacy Name
WALMART PHARMACY 10-5169
Pharmacy Address
2252 NORTH 8TH STREET
SUITE A
ROGERS, AR 72756
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
ADAM CRAFT, EXECUTIVE DIRECTOR
(859) 567-1271
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
1/11/2023
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