340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-0809
CHC33642-02 AIDS Action Coalition of Huntsville
Print
Covered Entity Details
Entity Name
AIDS Action Coalition of Huntsville
Subdivision Name
Thrive Behavioral Health - Church Street
Type
HRSA-Funded Health Center
340B ID
CHC33642-02
Entity Address
415E Church St NW
Ste 10
Huntsville, AL 35801
Grant Number
H80CS33642
Participating Start Date
1/1/2020
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0809
Pharmacy Address
92 PLAZA LANE
OXFORD, AL 36203
Pharmacy Comments
Contract Details
Approval Date
7/24/2023
Contract Begin Date
7/31/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/19/2023
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Mary Elizabeth Marr, CEO
(256) 337-8283
Contract Pharmacy Representative
Verity Solutions
Tanner Gard, Community Health Sales Director
(407) 741-5438
Signed By Date
7/24/2023
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