340B Drug Pricing Program Database
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Walmart Pharmacy 10-7611
STD403511 Fresh Start Health, PSC
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Covered Entity Details
Entity Name
Fresh Start Health, PSC
Subdivision Name
Morehead, KY Clinic
Type
Sexually Transmitted Diseases
340B ID
STD403511
Entity Address
150 Newtowne Square
Morehead, KY 40351
Grant Number
6NH25PS005135-05-06
Participating Start Date
4/1/2025
Last Recertification Date
5/19/2025
Pharmacy Details
Pharmacy Name
Walmart Pharmacy 10-7611
Pharmacy Address
2501 Perry Rd
Plainfield, IN 46168
Pharmacy Comments
Contract Details
Approval Date
4/14/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jerrel Boyer, Medical Director
(606) 923-1124 Ext: 6062258298
Contract Pharmacy Representative
Walmart
Julie Howard, 340B Program Manager
(479) 277-1498
Signed By Date
4/14/2025
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