340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-2989
CH091220 BAY AREA COMMUNITY HEALTH
Print
Covered Entity Details
Entity Name
BAY AREA COMMUNITY HEALTH
Subdivision Name
Mowry I Health Clinic
Type
HRSA-Funded Health Center
340B ID
CH091220
Entity Address
2299 MOWRY AVE STE 3B
FREMONT, CA 94538-1621
Grant Number
H80CS02326
Participating Start Date
7/1/1996
Last Recertification Date
2/26/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-2989
Pharmacy Address
44009 OSGOOD ROAD
FREMONT, CA 94539
Pharmacy Comments
Contract Details
Approval Date
4/13/2017
Contract Begin Date
7/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Zettie D Page, CEO
(760) 902-5249
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
4/13/2017
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