340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-0425
CHC24177-08 Cahaba Medical Care Foundation
Print
Covered Entity Details
Entity Name
Cahaba Medical Care Foundation
Subdivision Name
Cahaba Medical Care - Brent Elementary School
Type
HRSA-Funded Health Center
340B ID
CHC24177-08
Entity Address
160 4th Street
Brent, AL 35034-3739
Grant Number
H80CS24177
Participating Start Date
1/1/2019
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0425
Pharmacy Address
10675 HIGHWAY 5
BRENT, AL 35034
Pharmacy Comments
Contract Details
Approval Date
10/22/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
John Waits, CEO
(205) 277-2396
Contract Pharmacy Representative
Wal-Mart
Marcus Osbourne, VP of Health and Wellness Transformation
(479) 204-9374
Signed By Date
10/22/2023
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