340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALMART PHARMACY 10-5169
CH05214H HENDERSON COUNTY RURAL HEALTH CENTER INC
Print
Covered Entity Details
Entity Name
HENDERSON COUNTY RURAL HEALTH CENTER INC
Subdivision Name
Eagle View Community Health System Monmouth Clinic
Type
HRSA-Funded Health Center
340B ID
CH05214H
Entity Address
230 S Main St
Monmouth, IL 61462-2160
Grant Number
H80CS00192
Participating Start Date
4/1/2023
Last Recertification Date
2/12/2025
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
5/4/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Shannon Courson, Executive Director
(309) 867-2202 Ext: 219
Contract Pharmacy Representative
Walmart
Julie Howard, 340b Program Manager
(479) 739-1973 Ext: 4792771498
Signed By Date
5/4/2023
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