340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
Walmart Pharmacy 10-7611
FQHC638012E Northern Valley Indian Health
Print
Covered Entity Details
Entity Name
Northern Valley Indian Health
Subdivision Name
Women's Health and Dental Clinic
Type
Tribal Contract/Compact with IHS (P.L. 93-638)
340B ID
FQHC638012E
Entity Address
500 Cohasset Rd.
15
Chico, CA 95926
Grant Number
Participating Start Date
7/1/2016
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
Walmart Pharmacy 10-7611
Pharmacy Address
2501 Perry Rd
Plainfield, IN 46168
Pharmacy Comments
Contract Details
Approval Date
10/9/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Inder Wadhwa, CEO
(530) 896-9409
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
10/9/2023
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