340B Drug Pricing Program Database
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Walmart Pharmacy 10-7611
CHC08777-00 COUNTY OF CASS
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Covered Entity Details
Entity Name
COUNTY OF CASS
Subdivision Name
CASS COUNTY HEALTH DEPARTMENT
Type
HRSA-Funded Health Center
340B ID
CHC08777-00
Entity Address
331 S Main St
Virginia, IL 62691-1519
Grant Number
H80CS08777
Participating Start Date
1/1/2010
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
10/20/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Teresa Armstrong, ADMINISTRATOR
(217) 452-3057
Contract Pharmacy Representative
Walmart
Van Donn, Director of Contracting 340b
(303) 261-5549
Signed By Date
10/20/2023
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