340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
Walmart Pharmacy 10-7611
CAH101307-00 Holmes County Hospital Corp d/b/a Doctors Memorial Hospital
Print
Covered Entity Details
Entity Name
Holmes County Hospital Corp d/b/a Doctors Memorial Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH101307-00
Entity Address
2600 Hospital Drive
Bonifay, FL 32425-4264
Medicare Provider Number
101307
Participating Start Date
1/1/2014
Last Recertification Date
9/16/2024
Pharmacy Details
Pharmacy Name
Walmart Pharmacy 10-7611
Pharmacy Address
2501 Perry Rd
Plainfield, IN 46168
Pharmacy Comments
Contract Details
Approval Date
4/10/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
JoAnn Baker, Administrator
(850) 547-8001
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
4/10/2025
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