340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALMART PHARMACY 10-5169
CH0622420 SPRING BRANCH COMMUNITY HEALTH CENTER
Print
Covered Entity Details
Entity Name
SPRING BRANCH COMMUNITY HEALTH CENTER
Subdivision Name
SBCHC - Hillendahl Clinic
Type
HRSA-Funded Health Center
340B ID
CH0622420
Entity Address
1615 Hillendahl Blvd.
Suite 100
Houston, TX 77055
Grant Number
H80CS06447
Participating Start Date
4/1/2008
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
1/17/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Marlen Trujillo, Chief Executive Officer
(713) 462-6565 Ext: 118
Contract Pharmacy Representative
Walmart
Julie Howard, 340B Program Manager
(479) 277-1498
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