340B Drug Pricing Program Database

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Walmart Pharmacy 10-7611
CH093070 MOUNTAIN PARK HEALTH CENTER

Covered Entity Details

Mountain Park Health Center - Baseline
HRSA-Funded Health Center
CH093070
635 E Baseline Rd
Phoenix, AZ 85042-6551
H80CS00141
10/1/1996
2/13/2025


Pharmacy Details

2501 Perry Rd
Plainfield, IN 46168

Contract Details

10/4/2023
1/1/2024


Contacts


John R. Swagert, CEO
(602) 323-3470



Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
10/4/2023