340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALMART PHARMACY 10-5169
CAH281338-00 Howard County Medical Center
Print
Covered Entity Details
Entity Name
Howard County Medical Center
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH281338-00
Entity Address
1113 Sherman St
St Paul, NE 68873
Medicare Provider Number
281338
Participating Start Date
1/1/2013
Last Recertification Date
8/15/2024
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
4/5/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/19/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Arlan D. Johnson, CEO
(308) 754-4421 Ext: 300
Contract Pharmacy Representative
Walmart
Tisha Campbell, Director of Contracting
(949) 872-4138
Signed By Date
4/5/2023
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