340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-3522
CHC10608-12 CENTRAL CITY COMMUNITY HEALTH CENTER, INC.
Print
Covered Entity Details
Entity Name
CENTRAL CITY COMMUNITY HEALTH CENTER, INC.
Subdivision Name
Central City Community Health Center - La Puente Site
Type
HRSA-Funded Health Center
340B ID
CHC10608-12
Entity Address
13742 AMAR RD
LA PUENTE, CA 91746-1683
Grant Number
H80CS10608
Participating Start Date
7/1/2015
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-3522
Pharmacy Address
3250 BIG DALTON AVE
BALDWIN PARK, CA 91706
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
Sommer R Kaskowitz, Chief Nursing Officer
(323) 724-0019 Ext: 1026
Contract Pharmacy Representative
Walmart
Julie Howard, 340B Program Manager
(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