340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-0488
CH04038AC North Florida Medical Centers, Inc.
Print
Covered Entity Details
Entity Name
North Florida Medical Centers, Inc.
Subdivision Name
North Monroe Medical Center
Type
HRSA-Funded Health Center
340B ID
CH04038AC
Entity Address
3721 N Monroe St
Tallahassee, FL 32303-2740
Grant Number
H80CS00693
Participating Start Date
7/1/2018
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0488
Pharmacy Address
1940 PAT THOMAS PARKWAY
QUINCY, FL 32351
Pharmacy Comments
Contract Details
Approval Date
5/16/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Tori Wiggins, CFO
(850) 298-6040
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
5/16/2024
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