340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-4636
CH03070K CENTRAL VIRGINIA HEALTH SERVICES, INC.
Print
Covered Entity Details
Entity Name
CENTRAL VIRGINIA HEALTH SERVICES, INC.
Subdivision Name
CVHS - Downtown Petersburg
Type
HRSA-Funded Health Center
340B ID
CH03070K
Entity Address
25 S Union St
Petersburg, VA 23803-4221
Grant Number
H80CS00479
Participating Start Date
4/1/2004
Last Recertification Date
2/28/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-4636
Pharmacy Address
505 OAKVILLE ROAD
APPOMATTOX, VA 24522
Pharmacy Comments
Contract Details
Approval Date
10/17/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Paula Anne Tomko, Chief Executive Officer
(434) 581-3276
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
10/17/2023
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