340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALMART PHARMACY 10-5169
CH092650 AJO COMMUNITY HEALTH CENTER
Print
Covered Entity Details
Entity Name
AJO COMMUNITY HEALTH CENTER
Subdivision Name
DESERT SENITA COMMUNITY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH092650
Entity Address
410 N Malacate St
Ajo, AZ 85321-2254
Grant Number
H80CS00753
Participating Start Date
7/1/2000
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
4/20/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Jonathan Leonard, CEO
(520) 387-5651 Ext: 3007
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
4/20/2023
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