340B Drug Pricing Program Database
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Walmart Pharmacy 10-7611
CH030150 Total Health Care, Inc.
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Covered Entity Details
Entity Name
Total Health Care, Inc.
Subdivision Name
Division Health Center
Type
HRSA-Funded Health Center
340B ID
CH030150
Entity Address
1501 DIVISION STREET
BALTIMORE, MD 21217
Grant Number
H80CS00068
Participating Start Date
12/1/1992
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
10/19/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Danny Bellamy, CEO
(410) 728-4090
Contract Pharmacy Representative
Walmart
Julie Howard, 340B Program Manager
(479) 277-1498
Signed By Date
10/19/2023
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