340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-1317
DSH340002 MISSION HOSPITALS, INC.
Print
Covered Entity Details
Entity Name
MISSION HOSPITALS, INC.
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH340002
Entity Address
509 BILTMORE AVENUE
ASHEVILLE, NC 28801
Medicare Provider Number
340002
Participating Start Date
7/1/2004
Last Recertification Date
8/29/2018
Entity Termination Date
4/1/2019
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1317
Pharmacy Address
125 BLEACHERY BLVD
ASHEVILLE(E), NC 28805
Pharmacy Comments
Contract Details
Approval Date
7/8/2015
Contract Begin Date
10/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2019
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Paul L McDowell, CFO
(828) 213-0184
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
7/8/2015
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