340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
Walmart Pharmacy 10-7611
CH060750 NUESTRA CLINICA DEL VALLE
Print
Covered Entity Details
Entity Name
NUESTRA CLINICA DEL VALLE
Subdivision Name
NUESTRA CLINICA DEL VALLE, INC.
Type
HRSA-Funded Health Center
340B ID
CH060750
Entity Address
806 West 3rd Street
San Juan, TX 78589-2276
Grant Number
H80CS00209
Participating Start Date
12/1/1992
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
Walmart Pharmacy 10-7611
Pharmacy Address
2501 Perry Rd
Plainfield, IN 46168
Pharmacy Comments
Contract Details
Approval Date
1/8/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
LUCY TORRES, CHIEF EXECUTIVE OFFICER
(956) 787-8915 Ext: 231
Contract Pharmacy Representative
Walmart
Julie Howard, 340B Program Manager
(479) 277-1498
Signed By Date
1/8/2024
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