340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
Walmart Pharmacy 10-7611
CH03410E Portsmouth Community Health Center, Inc.
Print
Covered Entity Details
Entity Name
Portsmouth Community Health Center, Inc.
Subdivision Name
Barbara L. Willis Wellness Center
Type
HRSA-Funded Health Center
340B ID
CH03410E
Entity Address
1541 High Street
Portsmouth, VA 23704
Grant Number
H80CS00729
Participating Start Date
1/24/2023
Last Recertification Date
2/17/2025
Pharmacy Details
Pharmacy Name
Walmart Pharmacy 10-7611
Pharmacy Address
2501 Perry Rd
Plainfield, IN 46168
Pharmacy Comments
Contract Details
Approval Date
10/5/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Barbara Willis, CEO
(757) 393-6363
Contract Pharmacy Representative
Walmart
Julie Howard, 340B Program Manager
(479) 277-1498
Signed By Date
10/5/2023
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