340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-2159
CHC24140-03 Southern Tier Community Health Center Network
Print
Covered Entity Details
Entity Name
Southern Tier Community Health Center Network
Subdivision Name
Southern Tier Community Health Center Network, Salamanca site
Type
HRSA-Funded Health Center
340B ID
CHC24140-03
Entity Address
445 Broad St.
Salamanca, NY 14779-1424
Grant Number
H80CS24140
Participating Start Date
7/1/2017
Last Recertification Date
2/26/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-2159
Pharmacy Address
RTE 417
1869 PLAZA DR
OLEAN, NY 14760
Pharmacy Comments
Contract Details
Approval Date
7/1/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Brett Lawton, CEO
(716) 701-6831
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
7/1/2024
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