340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-1085
CH04550K PREMIER COMMUNITY HEALTHCARE GROUP, INC.
Print
Covered Entity Details
Entity Name
PREMIER COMMUNITY HEALTHCARE GROUP, INC.
Subdivision Name
Brooksville Family Health Center
Type
HRSA-Funded Health Center
340B ID
CH04550K
Entity Address
300 SOUTH MAIN STREET
BROOKSVILLE, FL 34601-3320
Grant Number
H80CS00101
Participating Start Date
1/1/2018
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1085
Pharmacy Address
8701US HWY 19
PORT RICHEY, FL 34668
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
Joseph Resnick, CEO
(352) 518-2000 Ext: 9000
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
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