340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALMART PHARMACY 10-5169
CHC24170-05 Heartland Medical Clinic, Incorporated
Print
Covered Entity Details
Entity Name
Heartland Medical Clinic, Incorporated
Subdivision Name
Heartland at Panda Pediatrics
Type
HRSA-Funded Health Center
340B ID
CHC24170-05
Entity Address
1803 W 6th St
Lawrence, KS 66044-1710
Grant Number
H80CS24170
Participating Start Date
4/1/2021
Last Recertification Date
2/11/2025
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
4/14/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Julie Branstrom, CEO
(785) 841-7297
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
4/14/2023
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