340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-1707
CHC08238-09 Change, Incorporated
Print
Covered Entity Details
Entity Name
Change, Incorporated
Subdivision Name
FMC - SBHC Oak Glen Complex
Type
HRSA-Funded Health Center
340B ID
CHC08238-09
Entity Address
39 Golden Bear Dr
New Cumberland, WV 26047-1670
Grant Number
H80CS08238
Participating Start Date
10/1/2019
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1707
Pharmacy Address
16280 DRESDEN DR
EAST LIVERPOOL, OH 43920
Pharmacy Comments
Contract Details
Approval Date
4/18/2023
Contract Begin Date
4/18/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Lisa Mowry, CEO
(304) 797-7733 Ext: 1311
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
4/18/2023
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