340B Drug Pricing Program Database
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Walmart Pharmacy 10-7611
RRC510050-00 WHEELING HOSPITAL
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Covered Entity Details
Entity Name
WHEELING HOSPITAL
Subdivision Name
Type
Rural Referral Center
340B ID
RRC510050-00
Entity Address
1 MEDICAL PARK
WHEELING, WV 26003
Medicare Provider Number
510050
Participating Start Date
4/1/2022
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
Walmart Pharmacy 10-7611
Pharmacy Address
2501 Perry Rd
Plainfield, IN 46168
Pharmacy Comments
Contract Details
Approval Date
10/10/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Heidi Porter L Porter, Vice President of Quality and Regulatory Affairs
(304) 243-8377
Contract Pharmacy Representative
Walmart
Julie Howard, 340B Program Manager
(479) 277-1498
Signed By Date
10/10/2023
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