340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-0348
CHC24198-00 Marillac Community Health Centers
Print
Covered Entity Details
Entity Name
Marillac Community Health Centers
Subdivision Name
DCHC-Carrollton
Type
HRSA-Funded Health Center
340B ID
CHC24198-00
Entity Address
3201 S. Carrollton Ave.
New Orleans, LA 70118-4307
Grant Number
H80CS24198
Participating Start Date
10/1/2012
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0348
Pharmacy Address
427 HWY 425 NORTH
MONTICELLO, AR 71655
Pharmacy Comments
Contract Details
Approval Date
10/6/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Michael Griffin, President and CEO
(504) 212-9502
Contract Pharmacy Representative
Walmart
Van Donn, Director of Contracting 340b
(303) 261-5549
Signed By Date
10/6/2023
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