340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-2484
CH040370 FLORIDA CHC'S, INC.
Print
Covered Entity Details
Entity Name
FLORIDA CHC'S, INC.
Subdivision Name
Type
HRSA-Funded Health Center
340B ID
CH040370
Entity Address
5827 CORPORATE WAY
WEST PALM BEACH, FL 33407
Grant Number
H80CS00798
Participating Start Date
12/1/1992
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-2484
Pharmacy Address
1005 WEST SUGARLAND HWY
CLEWISTON, FL 33440
Pharmacy Comments
Contract Details
Approval Date
1/10/2014
Contract Begin Date
4/1/2014
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
KATHY AMATO, VICE PRESIDENT & CFO
(561) 844-9443 Ext: 311
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
1/10/2014
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