340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALMART PHARMACY 10-5169
CHC24170-06 Heartland Medical Clinic, Inc.
Print
Covered Entity Details
Entity Name
Heartland Medical Clinic, Inc.
Subdivision Name
Heartland at 534 Michigan
Type
HRSA-Funded Health Center
340B ID
CHC24170-06
Entity Address
534 Michigan St
Lawrence, KS 66044-1745
Grant Number
H80CS24170
Participating Start Date
10/1/2024
Last Recertification Date
2/11/2025
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
Julie Branstrom, CEO
(785) 841-7297
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
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