340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALMART PHARMACY 10-5169
CH010450 ISLANDS COMMUNITY MEDICAL SERVICES, INC.
Print
Covered Entity Details
Entity Name
ISLANDS COMMUNITY MEDICAL SERVICES, INC.
Subdivision Name
ISLANDS COMMUNITY MEDICAL SERVICES
Type
HRSA-Funded Health Center
340B ID
CH010450
Entity Address
15 MEDICAL CENTER LOOP
VINALHAVEN, ME 04863-4104
Grant Number
H80CS06657
Participating Start Date
10/1/2004
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
WALMART PHARMACY 10-5169
Pharmacy Address
2252 NORTH 8TH STREET
SUITE A
ROGERS, AR 72756
Pharmacy Comments
Contract Details
Approval Date
10/15/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Cameron Garrett, Executive Director
(207) 863-4341 Ext: 1110
Contract Pharmacy Representative
Walmart
Christian Nava, Senior Manager, Program Development-340B
(210) 632-0647
Signed By Date
10/15/2024
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