340B Drug Pricing Program Database
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Walmart Pharmacy 10-7611
CH012230 WOOD RIVER HEALTH SERVICES, INC.
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Covered Entity Details
Entity Name
WOOD RIVER HEALTH SERVICES, INC.
Subdivision Name
WOOD RIVER HEALTH SERVICES, INC.
Type
HRSA-Funded Health Center
340B ID
CH012230
Entity Address
823 Main St
Hope Valley, RI 02832-1920
Grant Number
H80CS00059
Participating Start Date
10/1/1998
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
Walmart Pharmacy 10-7611
Pharmacy Address
2501 Perry Rd
Plainfield, IN 46168
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
Alison Croke, President and CEO
(401) 539-2461 Ext: 148
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
10/13/2023
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