340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-0294
CHC26595-00 PENNYROYAL HEALTHCARE SERVICES INC.
Print
Covered Entity Details
Entity Name
PENNYROYAL HEALTHCARE SERVICES INC.
Subdivision Name
Community Medical Clinic, Princeton
Type
HRSA-Funded Health Center
340B ID
CHC26595-00
Entity Address
1022 W, Main St.
PRINCETON, KY 42445-1622
Grant Number
H80CS26595
Participating Start Date
7/1/2014
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0294
Pharmacy Address
1725 W EVERLY BROTHERS BLVD
CENTRAL CITY, KY 42330
Pharmacy Comments
Contract Details
Approval Date
7/12/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kecia Fulcher, CEO
(270) 365-0227
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
7/12/2024
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