340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALMART PHARMACY 10-5169
CAH151333-00 PUTNAM COUNTY HOSPITAL
Print
Covered Entity Details
Entity Name
PUTNAM COUNTY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH151333-00
Entity Address
1542 S BLOOMINGTON ST
GREENCASTLE, IN 46135-2297
Medicare Provider Number
151333
Participating Start Date
8/18/2010
Last Recertification Date
8/20/2024
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
4/6/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
DENNIS WEATHERFORD, CEO
(765) 301-7525 Ext: 7524
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
4/6/2023
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