340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALMART PHARMACY 10-5169
CAH451382-00 Comanche County Medical Center Company dba Comanche County Medical Center
Print
Covered Entity Details
Entity Name
Comanche County Medical Center Company dba Comanche County Medical Center
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH451382-00
Entity Address
10201 Highway 16 North
Comanche, TX 76442
Medicare Provider Number
451382
Participating Start Date
7/1/2012
Last Recertification Date
8/26/2024
Pharmacy Details
Pharmacy Name
WALMART PHARMACY 10-5169
Pharmacy Address
2252 NORTH 8TH STREET
SUITE A
ROGERS, AR 72756
Pharmacy Comments
Contract Details
Approval Date
4/10/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Hong Wade, Chief Financial Officer
(254) 879-4900 Ext: 2215
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
4/10/2024
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