340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-2534
CH04895G SOUTHEAST ALABAMA RURAL HEALTH ASSOCIATES (SARHA)
Print
Covered Entity Details
Entity Name
SOUTHEAST ALABAMA RURAL HEALTH ASSOCIATES (SARHA)
Subdivision Name
SARHA DOCTORS CENTER
Type
HRSA-Funded Health Center
340B ID
CH04895G
Entity Address
1412 ELBA HWY
TROY, AL 36079
Grant Number
H80CS00376
Participating Start Date
1/1/2005
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-2534
Pharmacy Address
3300 S OATES ST
DOTHAN (SOUTH), AL 36301
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
Pamylon Bowers, Chief Executive Officer
(334) 670-6726 Ext: 173
Contract Pharmacy Representative
Walmart
George Flaherty, Senior Director Payer Programs
(479) 204-9374
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