340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-2507
CH09071BC Community Health Centers Of The Central Coast, Inc.
Print
Covered Entity Details
Entity Name
Community Health Centers Of The Central Coast, Inc.
Subdivision Name
Community Health Centers - Advanced Primary Care
Type
HRSA-Funded Health Center
340B ID
CH09071BC
Entity Address
1510 E. Main Street, Suite 104B
Santa Maria, CA 93454
Grant Number
H80CS00621
Participating Start Date
7/19/2021
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-2507
Pharmacy Address
2220 SOUTH BRADLEY
SANTA MARIA, CA 93455
Pharmacy Comments
Contract Details
Approval Date
6/9/2023
Contract Begin Date
6/9/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
RONALD E. CASTLE, CEO
(805) 459-1835
Contract Pharmacy Representative
Walmart
Christian Nava, Senior Manager, Program Development-340B
(210) 632-0647
Signed By Date
6/9/2023
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