Contract Pharmacy Details

WALMART PHARMACY 10-5169
CHC33795-08 Monterey, County Of

Covered Entity Details

Entity Name

Monterey, County Of

Subdivision Name

Bienestar

Type

HRSA-Funded Health Center

340B ID

CHC33795-08

Entity Address

1441 Constitution Blvd BLDG 400 STE 201
Salinas, CA 93906-3100

Grant Number

H80CS33795

Participating Start Date

1/1/2020

Last Recertification Date

3/4/2025

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

Prashant Shinde, Bureau Chief
(831) 796-1370

Contract Pharmacy Representative

Walmart
Craig Smith, RPh.
(479) 903-5739

Signed By Date

1/12/2023

340B Drug Pricing Program Database