340B Drug Pricing Program Database
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Walmart Pharmacy 10-7611
CH030900 SHENANDOAH VALLEY MEDICAL SYSTEM, INCORPORATED
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Covered Entity Details
Entity Name
SHENANDOAH VALLEY MEDICAL SYSTEM, INCORPORATED
Subdivision Name
SCH Martinsburg
Type
HRSA-Funded Health Center
340B ID
CH030900
Entity Address
99 TAVERN ROAD
MARTINSBURG, WV 25401
Grant Number
H80CS00781
Participating Start Date
10/1/2001
Last Recertification Date
2/28/2025
Pharmacy Details
Pharmacy Name
Walmart Pharmacy 10-7611
Pharmacy Address
2501 Perry Rd
Plainfield, IN 46168
Pharmacy Comments
Contract Details
Approval Date
10/1/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Michael Hassing, CEO
(304) 596-2610 Ext: 1062
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
10/1/2024
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