340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
Walmart Pharmacy 10-7611
CAH171384-00 NEWMAN MEMORIAL COUNTY HOSPITAL
Print
Covered Entity Details
Entity Name
NEWMAN MEMORIAL COUNTY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH171384-00
Entity Address
1201 W. 12th Ave.
EMPORIA, KS 66801
Medicare Provider Number
171384
Participating Start Date
1/1/2016
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
Walmart Pharmacy 10-7611
Pharmacy Address
2501 Perry Rd
Plainfield, IN 46168
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
Holly R. French, CFO
(620) 343-6800 Ext: 22610
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
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