340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-5498
CHC24165-08 NORTH COUNTRY FAMILY HEALTH CENTER, INC.
Print
Covered Entity Details
Entity Name
NORTH COUNTRY FAMILY HEALTH CENTER, INC.
Subdivision Name
North Country Family Health Center - LeRay Dental
Type
HRSA-Funded Health Center
340B ID
CHC24165-08
Entity Address
26908 Independence Way, Suite 202
Evans Mills, NY 13637-3300
Grant Number
H80CS24165
Participating Start Date
7/1/2017
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-5498
Pharmacy Address
7155 STATE ROUTE #12 SOUTH
LOWVILLE, NY 13367
Pharmacy Comments
Contract Details
Approval Date
1/14/2025
Contract Begin Date
4/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Joey Marie Horton, Chief Executive Officer
(315) 782-9450
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
1/14/2025
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