340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALMART PHARMACY 10-5169
CH030720 EASTERN SHORE RURAL HEALTH SYSTEM, INC
Print
Covered Entity Details
Entity Name
EASTERN SHORE RURAL HEALTH SYSTEM, INC
Subdivision Name
Eastern Shore Rural Health System, Inc.
Type
HRSA-Funded Health Center
340B ID
CH030720
Entity Address
20280 Market St
Onancock, VA 23417
Grant Number
H80CS00791
Participating Start Date
10/1/1999
Last Recertification Date
2/11/2025
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
1/12/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Matthew Clay, CEO
(757) 414-0400 Ext: 1117
Contract Pharmacy Representative
Eastern Shore Rural Health System, Inc.
KIMBERLY Bloxom SAVAGE, CHIEF COMPLIANCE OFFICER
(757) 414-0400 Ext: 108
Signed By Date
1/12/2023
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