340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-0150
CAH371336-00 NEWMAN MEMORIAL HOSPITAL
Print
Covered Entity Details
Entity Name
NEWMAN MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH371336-00
Entity Address
905 SOUTH MAIN STREET
SHATTUCK, OK 73858
Medicare Provider Number
371336
Participating Start Date
7/1/2020
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0150
Pharmacy Address
3215 WILLIAMS AVENUE
WOODWARD, OK 73801
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
Doran Wayne Hammett, CFO
(580) 938-5545
Contract Pharmacy Representative
Walmart
Christian Nava, Senior Manager, Program Development-340B
(210) 632-0647
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