340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-0163
CHC12850-02 Health Opportunities For The People Of East Texas Inc
Print
Covered Entity Details
Entity Name
Health Opportunities For The People Of East Texas Inc
Subdivision Name
HOPE Community Medicine San Augustine
Type
HRSA-Funded Health Center
340B ID
CHC12850-02
Entity Address
600 E. Hospital Street
San Augustine, TX 75972-1940
Grant Number
H80CS12850
Participating Start Date
1/1/2019
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0163
Pharmacy Address
4810 NORTH ST
NACOGDOCHES, TX 75965
Pharmacy Comments
Contract Details
Approval Date
4/4/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/28/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Jolene Busby, CFO
(936) 590-8381
Contract Pharmacy Representative
Walmart
Julie Howard, 340b Program Manager
(479) 739-1973 Ext: 4792771498
Signed By Date
4/4/2023
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