340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-1587
CH09047AR Golden Valley Health Centers
Print
Covered Entity Details
Entity Name
Golden Valley Health Centers
Subdivision Name
GVHC - Modesto Tully Road
Type
HRSA-Funded Health Center
340B ID
CH09047AR
Entity Address
1801 Tully Rd Ste F
Modesto, CA 95350-2931
Grant Number
H80CS00742
Participating Start Date
4/1/2020
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1587
Pharmacy Address
2225 PLAZA PARKWAY
MODESTO, CA 95350
Pharmacy Comments
Contract Details
Approval Date
10/16/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Gurjeet Sandhu, Vice President and Chief Financial Officer
(209) 384-6516
Contract Pharmacy Representative
Healdsburg District Hospital
Kathi Phelps, Manager Contracting
(479) 277-3719
Signed By Date
10/16/2023
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