340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
Walmart Pharmacy 10-7611
CH030890 PRESTON TAYLOR COMMUNITY HEALTH CENTER
Print
Covered Entity Details
Entity Name
PRESTON TAYLOR COMMUNITY HEALTH CENTER
Subdivision Name
Preston-Taylor Community Health
Type
HRSA-Funded Health Center
340B ID
CH030890
Entity Address
725 N Pike St
Grafton, WV 26354-1270
Grant Number
H80CS00617
Participating Start Date
7/1/2004
Last Recertification Date
2/26/2025
Pharmacy Details
Pharmacy Name
Walmart Pharmacy 10-7611
Pharmacy Address
2501 Perry Rd
Plainfield, IN 46168
Pharmacy Comments
Contract Details
Approval Date
10/11/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
June Griffith, COO
(304) 265-0312
Contract Pharmacy Representative
PTCHC
Charles Michael Dickey, Pharmacist
(304) 265-7400
Signed By Date
10/11/2023
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