340B Drug Pricing Program Database

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Effective Sunday, September 1, OPA is implementing a change to the export format for Medicaid and NPI numbers. This change affects covered entity exports that include Medicaid and/or NPI billing numbers, and the CE Daily Report in Excel format. If the number is associated with more than one state, all the states will be listed between one set of parentheses following the number - for example, 1275575227 (IN,MI,OH). This change is necessary to ensure that the exported data does not exceed Excel’s limit for field length.

WALMART PHARMACY 10-5632
DSH050093 SAINT AGNES MEDICAL CENTER

Covered Entity Details

Disproportionate Share Hospital
DSH050093
1303 E HERNDON AVE
FRESNO, CA 93720
050093
1/1/2014
8/20/2024


Pharmacy Details

1804 EAST ASHLAN AVE.
FRESNO, CA 93726

Contract Details

10/14/2015
1/1/2016

1/1/2017
Business decision by covered entity and/or pharmacy


Contacts


NANCY HOLLINGSWORTH, CEO
(559) 450-3301



WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
10/14/2015