340B Drug Pricing Program Database

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Effective Sunday, September 1, OPA is implementing a change to the export format for Medicaid and NPI numbers. This change affects covered entity exports that include Medicaid and/or NPI billing numbers, and the CE Daily Report in Excel format. If the number is associated with more than one state, all the states will be listed between one set of parentheses following the number - for example, 1275575227 (IN,MI,OH). This change is necessary to ensure that the exported data does not exceed Excel’s limit for field length.

WAL-MART PHARMACY 10-2001
FQHCLA311 Greater Fresno Health Organization

Covered Entity Details

Kings Winery Medical Clinic
Health Center Program Look-Alike
FQHCLA311
4929 E Kings Canyon Rd
Fresno, CA 93727-3812
LALCS00041
10/1/2018
1/29/2024


Pharmacy Details

5125 EAST KINGS CANYON
FRESNO, CA 93727

Contract Details

7/10/2023
10/1/2023


Contacts


BLA MOUANOUTOUA, CEO
(559) 255-6476 Ext: 4290



Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
7/10/2023