340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
Walmart Pharmacy 10-7611
CAH451315-00 NORTH RUNNELS HOSPITAL DISTRICT
Print
Covered Entity Details
Entity Name
NORTH RUNNELS HOSPITAL DISTRICT
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH451315-00
Entity Address
7821 STATE HWY 153
WINTERS, TX 79567
Medicare Provider Number
451315
Participating Start Date
4/1/2018
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
Walmart Pharmacy 10-7611
Pharmacy Address
2501 Perry Rd
Plainfield, IN 46168
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
Nicholas P Lewis, CEO
(325) 754-4553
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
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