340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-5193
CH09366A COMMUNITY HEALTH SYSTEMS, INC
Print
Covered Entity Details
Entity Name
COMMUNITY HEALTH SYSTEMS, INC
Subdivision Name
Fallbrook Family Health Center
Type
HRSA-Funded Health Center
340B ID
CH09366A
Entity Address
1328 S Mission Rd
Fallbrook, CA 92028
Grant Number
H80CS00222
Participating Start Date
7/1/2000
Last Recertification Date
3/4/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-5193
Pharmacy Address
12721 MORENO BEACH DRIVE
MORENO VALLEY, CA 92555
Pharmacy Comments
Contract Details
Approval Date
7/2/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Lori N. Holeman, Chief Executive Officer
(951) 571-2300
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
7/2/2024
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