340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
Walmart Pharmacy 10-7611
CAH361330-02 HOCKING VALLEY COMMUNITY HOSPITAL
Print
Covered Entity Details
Entity Name
HOCKING VALLEY COMMUNITY HOSPITAL
Subdivision Name
HVCH OP CIC BLDG - General Surgery Physician Clinic
Type
Critical Access Hospital
340B ID
CAH361330-02
Entity Address
541 State Route 664 N
Logan, OH 43138
Medicare Provider Number
361330
Outpatient Facility Provider Number
Participating Start Date
7/1/2020
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
Walmart Pharmacy 10-7611
Pharmacy Address
2501 Perry Rd
Plainfield, IN 46168
Pharmacy Comments
Contract Details
Approval Date
10/12/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Julie E Grow, CFO
(740) 380-8389
Contract Pharmacy Representative
Hocking Valley Community Hospital
Steffany Loper, Director, Pharmacy Services
(740) 380-8332
Signed By Date
10/12/2023
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