340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-2988
CH04479B PRIMARY HEALTH CARE CENTER OF DADE, INC.
Print
Covered Entity Details
Entity Name
PRIMARY HEALTH CARE CENTER OF DADE, INC.
Subdivision Name
Tiger Creek Elementary School
Type
HRSA-Funded Health Center
340B ID
CH04479B
Entity Address
134 Rhea Mcclanahan Dr
Tunnel Hill, GA 30755-7328
Grant Number
H80CS00649
Participating Start Date
10/1/2014
Last Recertification Date
3/5/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-2988
Pharmacy Address
2625 NO HWY 27
LAFAYETTE, GA 30728
Pharmacy Comments
Contract Details
Approval Date
1/16/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
DIANA U. ALLEN, CEO
(706) 620-4494 Ext: 8549
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
1/16/2024
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