340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
Walmart Pharmacy 10-7611
CH06657B LA ESPERANZA CLINIC, INC.
Print
Covered Entity Details
Entity Name
LA ESPERANZA CLINIC, INC.
Subdivision Name
La Esperanza's Health and Dental Centers North Clinic
Type
HRSA-Funded Health Center
340B ID
CH06657B
Entity Address
35 East 31st St
San Angelo, TX 76903-2207
Grant Number
H80CS00203
Participating Start Date
9/12/2008
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
Walmart Pharmacy 10-7611
Pharmacy Address
2501 Perry Rd
Plainfield, IN 46168
Pharmacy Comments
Contract Details
Approval Date
10/24/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Dean Munn, CEO
(325) 947-5600
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
10/24/2023
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