340B Drug Pricing Program Database

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WALMART PHARMACY 10-3004
DSH140018 MOUNT SINAI HOSPITAL MEDICAL CENTER

Covered Entity Details

Disproportionate Share Hospital
DSH140018
2750 W 15TH PLACE
CHICAGO, IL 60608-1797
140018
10/1/2004
9/6/2024


Pharmacy Details

3320 S. CICERO AVE
CICERO, IL 60804

Contract Details

7/11/2014
10/1/2014

7/19/2016
Business decision by covered entity and/or pharmacy


Contacts


CHARLES WEIS, EXECUTIVE VP & CFO
(773) 257-6642



Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
7/11/2014