340B Drug Pricing Program Database
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Walmart Pharmacy 10-7611
CHC28353-00 LifeSpring Inc.
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Covered Entity Details
Entity Name
LifeSpring Inc.
Subdivision Name
LifeSpring Community Medical Services
Type
HRSA-Funded Health Center
340B ID
CHC28353-00
Entity Address
1036 SHARON DR
JEFFERSONVILLE, IN 47130-4522
Grant Number
H80CS28353
Participating Start Date
10/1/2015
Last Recertification Date
3/12/2025
Pharmacy Details
Pharmacy Name
Walmart Pharmacy 10-7611
Pharmacy Address
2501 Perry Rd
Plainfield, IN 46168
Pharmacy Comments
Contract Details
Approval Date
4/15/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Nick Clark, EVP/CFO
(812) 280-2080
Contract Pharmacy Representative
Walmart
Van Donn, Director of Contracting 340b
(303) 261-5549
Signed By Date
4/15/2024
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