340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-1951
CH10163Q VALLEY FAMILY HEALTH CARE INC
Print
Covered Entity Details
Entity Name
VALLEY FAMILY HEALTH CARE INC
Subdivision Name
Valley Family Women and Children Clinic
Type
HRSA-Funded Health Center
340B ID
CH10163Q
Entity Address
840 SW 4th Ave
Ontario, OR 97914-2633
Grant Number
H80CS00556
Participating Start Date
4/1/2024
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1951
Pharmacy Address
1775 E IDAHO AVENUE
ONTARIO, OR 97914
Pharmacy Comments
Contract Details
Approval Date
4/8/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ben Murray, COO
(208) 642-7364
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
4/8/2024
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