Contract Pharmacy Details

WALMART PHARMACY 10-5169
CH034210 Community Care of West Virginia, Inc.

Covered Entity Details

Entity Name

Community Care of West Virginia, Inc.

Subdivision Name

Community Care of Rock Cave

Type

HRSA-Funded Health Center

340B ID

CH034210

Entity Address

78 Queens Alley Rd
ROCK CAVE, WV 26234-0217

Grant Number

H80CS00080

Participating Start Date

4/1/2003

Last Recertification Date

2/17/2025

Pharmacy Details

Pharmacy Name

WALMART PHARMACY 10-5169

Pharmacy Address

2252 NORTH 8TH STREET
SUITE A
ROGERS, AR 72756

Pharmacy Comments

Contract Details

Approval Date

4/15/2025

Contract Begin Date

7/1/2025

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Patricia Collett, Chief Executive Officer
(304) 473-5560

Contract Pharmacy Representative

Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498

Signed By Date

4/15/2025

340B Drug Pricing Program Database