340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-1951
CH10163N Valley Family Health Care, Inc.
Print
Covered Entity Details
Entity Name
Valley Family Health Care, Inc.
Subdivision Name
Emmett Dental Clinic
Type
HRSA-Funded Health Center
340B ID
CH10163N
Entity Address
1020 E Locust Ave
Emmett, ID 83617-2813
Grant Number
H80CS00556
Participating Start Date
1/1/2023
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1951
Pharmacy Address
1775 E IDAHO AVENUE
ONTARIO, OR 97914
Pharmacy Comments
Contract Details
Approval Date
10/13/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ben Murray, COO
(208) 642-7364
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
10/13/2023
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