340B Drug Pricing Program Database

Office of Pharmacy Affairs Logo

WAL-MART PHARMACY 10-5315
FQHCLA425H SUNRISE CLINICS

Covered Entity Details

SB-WLV HS MS
Health Center Program Look-Alike
FQHCLA425H
1024 South Pacific Street
Las Vegas, NM 87701
LALCS40211
1/1/2024
2/11/2025


Pharmacy Details

2354 COMMERCE PARK DR.
ORLANDO, FL 32819

Contract Details

4/15/2024
7/1/2024


Contacts


Randal Brown, CEO
(575) 472-4311



Walmart
Julie Howard, 340B Program Manager
(479) 277-1498
4/15/2024