Contract Pharmacy Details

Walmart Pharmacy 10-7611
CHC08773-11 UNITY CARE NORTHWEST

Covered Entity Details

Entity Name

UNITY CARE NORTHWEST

Subdivision Name

UCNW 218 Unity

Type

HRSA-Funded Health Center

340B ID

CHC08773-11

Entity Address

218 Unity St
Bellingham, WA 98225-4420

Grant Number

H80CS08773

Participating Start Date

4/1/2024

Last Recertification Date

2/27/2025

Pharmacy Details

Pharmacy Name

Walmart Pharmacy 10-7611

Pharmacy Address

2501 Perry Rd
Plainfield, IN 46168

Pharmacy Comments

Contract Details

Approval Date

7/15/2024

Contract Begin Date

10/1/2024

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Jodi Joyce, Chief Executive Officer
(360) 676-6177 Ext: 1232

Contract Pharmacy Representative

Walmart
Julie Howard, 340b Program Manager
(479) 739-1973 Ext: 4792771498

Signed By Date

7/15/2024

340B Drug Pricing Program Database