340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALMART PHARMACY 10-5169
CH11355-00 FIRST CARE CLINIC, INC.
Print
Covered Entity Details
Entity Name
FIRST CARE CLINIC, INC.
Subdivision Name
First Care Clinic, Inc.
Type
HRSA-Funded Health Center
340B ID
CH11355-00
Entity Address
105 W. 13th Street
Hays, KS 67601
Grant Number
H80CS12891
Participating Start Date
10/1/2016
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WALMART PHARMACY 10-5169
Pharmacy Address
2252 NORTH 8TH STREET
SUITE A
ROGERS, AR 72756
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
Eric C Flax, CEO
(785) 621-4990
Contract Pharmacy Representative
First Care Clinic
Eric C Flax, CEO
(785) 621-4990
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