340B Drug Pricing Program Database
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Walmart Pharmacy 10-7611
CH1014200 LINCOLN, COUNTY OF
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Covered Entity Details
Entity Name
LINCOLN, COUNTY OF
Subdivision Name
LINCOLN COUNTY HEALTH AND HUMAN SERVICES
Type
HRSA-Funded Health Center
340B ID
CH1014200
Entity Address
36 SW Nye St
Newport, OR 97365-3821
Grant Number
H80CS06639
Participating Start Date
4/1/2006
Last Recertification Date
3/6/2025
Pharmacy Details
Pharmacy Name
Walmart Pharmacy 10-7611
Pharmacy Address
2501 Perry Rd
Plainfield, IN 46168
Pharmacy Comments
Contract Details
Approval Date
4/11/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jayne Leigh Romero, Health and Human Services Director
(541) 265-0400
Contract Pharmacy Representative
Walmart
Julie Howard, 340B Program Manager
(479) 277-1498
Signed By Date
4/11/2025
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