340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-4389
CH011222A LITTLE RIVERS HEALTH CARE, INC.
Print
Covered Entity Details
Entity Name
LITTLE RIVERS HEALTH CARE, INC.
Subdivision Name
BRADFORD
Type
HRSA-Funded Health Center
340B ID
CH011222A
Entity Address
437 S Main St
Bradford, VT 05033
Grant Number
H80CS06658
Participating Start Date
4/1/2008
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-4389
Pharmacy Address
WAL-MART STORES EAST, LP
4901 DARTMOUTH COLLEGE HWY
WOODSVILLE, NH 03785
Pharmacy Comments
Contract Details
Approval Date
1/14/2014
Contract Begin Date
4/1/2014
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
GAIL AUCLAIR, CEO
(802) 222-4637 Ext: 104
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
1/14/2014
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