340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALMART PHARMACY 10-4112
CH06084C SU CLINICA FAMILIAR
Print
Covered Entity Details
Entity Name
SU CLINICA FAMILIAR
Subdivision Name
Southern Cameron County Clinic
Type
HRSA-Funded Health Center
340B ID
CH06084C
Entity Address
105 E. Alton Gloor Blvd.
BROWNSVILLE, TX 78526
Grant Number
H80CS00348
Participating Start Date
7/1/1993
Last Recertification Date
2/21/2025
Pharmacy Details
Pharmacy Name
WALMART PHARMACY 10-4112
Pharmacy Address
2205 E RUBEN TORRES SR BLVD
BROWNSVILLE, TX 78526
Pharmacy Comments
Contract Details
Approval Date
7/15/2015
Contract Begin Date
10/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
ELENA MARIN, CEO
(956) 365-6010 Ext: 1330
Contract Pharmacy Representative
Wal-Mart
Marcus Osbourne, Vice President
(800) 939-2022
Signed By Date
7/15/2015
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