340B Drug Pricing Program Database
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Walmart Pharmacy 10-7611
CHC28965-00 FORDLAND CLINIC
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Covered Entity Details
Entity Name
FORDLAND CLINIC
Subdivision Name
Fordland Clinic
Type
HRSA-Funded Health Center
340B ID
CHC28965-00
Entity Address
1059 BARTON DR
FORDLAND, MO 65652-7350
Grant Number
H80CS28965
Participating Start Date
4/1/2016
Last Recertification Date
2/17/2025
Pharmacy Details
Pharmacy Name
Walmart Pharmacy 10-7611
Pharmacy Address
2501 Perry Rd
Plainfield, IN 46168
Pharmacy Comments
Contract Details
Approval Date
10/14/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
David Steinmann, CEO
(417) 767-2273 Ext: 2022
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
10/14/2024
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