340B Drug Pricing Program Database
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Walmart Pharmacy 10-7611
CH062780B GREAT SALT PLAINS HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
GREAT SALT PLAINS HEALTH CENTER, INC.
Subdivision Name
GSP Health East Enid
Type
HRSA-Funded Health Center
340B ID
CH062780B
Entity Address
231 S. 30th St.
Enid, OK 73701
Grant Number
H80CS08744
Participating Start Date
10/1/2014
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
Walmart Pharmacy 10-7611
Pharmacy Address
2501 Perry Rd
Plainfield, IN 46168
Pharmacy Comments
Contract Details
Approval Date
10/2/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/7/2023
Agreement registered in error
Contacts
Covered Entity Signing Official
TIM STARKEY, CEO/EXECUTIVE DIRECTOR
(580) 596-2800
Contract Pharmacy Representative
Walmart
Julie Howard, 340B Program Manager
(479) 277-1498
Signed By Date
10/2/2023
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