340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALMART PHARMACY 10-3585
CH050390 NORTHWEST MICHIGAN HEALTH SERVICES, INC
Print
Covered Entity Details
Entity Name
NORTHWEST MICHIGAN HEALTH SERVICES, INC
Subdivision Name
NORTHWEST MICHIGAN HEALTH SERVICES, INC.
Type
HRSA-Funded Health Center
340B ID
CH050390
Entity Address
10767 E Traverse Hwy
Traverse City, MI 49684-6219
Grant Number
H80CS00669
Participating Start Date
1/1/1997
Last Recertification Date
2/28/2025
Pharmacy Details
Pharmacy Name
WALMART PHARMACY 10-3585
Pharmacy Address
2901 RILEY FUZZELL RD
SPRING, TX 77386
Pharmacy Comments
Contract Details
Approval Date
1/2/2025
Contract Begin Date
4/1/2025
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/10/2025
Agreement registered in error
Contacts
Covered Entity Signing Official
Heidi Britton, Chief Executive Officer
(231) 947-1112
Contract Pharmacy Representative
Walmart
Nick Tallman, Sr. Director, Merchandise Operations – Pharmacy
(479) 371-0417
Signed By Date
1/2/2025
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