340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-3660
CH04479N Primary Health Care Center Of Dade, Inc.
Print
Covered Entity Details
Entity Name
Primary Health Care Center Of Dade, Inc.
Subdivision Name
Primary Healthcare Center at Rossville Elementary - SBHC
Type
HRSA-Funded Health Center
340B ID
CH04479N
Entity Address
1250 Wilson Rd
Rossville, GA 30741-1736
Grant Number
H80CS00649
Participating Start Date
1/1/2023
Last Recertification Date
3/5/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-3660
Pharmacy Address
3550 CUMMINGS HIGHWAY
CHATTANOOGA(SW), TN 37419
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