340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-0740
CH04895N SOUTHEAST ALABAMA RURAL HEALTH ASSOCIATES
Print
Covered Entity Details
Entity Name
SOUTHEAST ALABAMA RURAL HEALTH ASSOCIATES
Subdivision Name
Geneva Family Health Center
Type
HRSA-Funded Health Center
340B ID
CH04895N
Entity Address
100 W Lake Professional Park Ste 3
Geneva, AL 36340-1200
Grant Number
H80CS00376
Participating Start Date
4/22/2021
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0740
Pharmacy Address
1537 HWY 231 SOUTH
OZARK, AL 36360
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
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
10/9/2023
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