340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALMART PHARMACY 10-5169
CHC28971-01 PANHANDLE COUNSELING AND HEALTH CENTER, INC.
Print
Covered Entity Details
Entity Name
PANHANDLE COUNSELING AND HEALTH CENTER, INC.
Subdivision Name
Panhandle Counseling and Health Center Clinic
Type
HRSA-Funded Health Center
340B ID
CHC28971-01
Entity Address
3247 US Highway 54
Guymon, OK 73942
Grant Number
H80CS28971
Participating Start Date
4/1/2016
Last Recertification Date
1/30/2023
Entity Termination Date
10/1/2023
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
1/17/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2023
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Sarah Wagner, CEO
(580) 338-0072
Contract Pharmacy Representative
Walmart
Julie Howard, 340b Program Manager
(479) 739-1973 Ext: 4792771498
Signed By Date
1/17/2023
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