340B Drug Pricing Program Database
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Walmart Pharmacy 10-7611
CH07440G DOUGLAS COUNTY PUBLIC HEALTH SERVICES GROUP, INC.
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Covered Entity Details
Entity Name
DOUGLAS COUNTY PUBLIC HEALTH SERVICES GROUP, INC.
Subdivision Name
Missouri Ozarks Community Health
Type
HRSA-Funded Health Center
340B ID
CH07440G
Entity Address
1604 C North Main Street
Mountain Grove, MO 65711
Grant Number
H80CS00457
Participating Start Date
1/1/2016
Last Recertification Date
2/25/2025
Pharmacy Details
Pharmacy Name
Walmart Pharmacy 10-7611
Pharmacy Address
2501 Perry Rd
Plainfield, IN 46168
Pharmacy Comments
Contract Details
Approval Date
4/9/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Randall L Gann, CEO
(417) 683-5739
Contract Pharmacy Representative
Walmart
Julie Howard, 340B Program Manager
(479) 277-1498
Signed By Date
4/9/2025
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