340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-1186
CH0621770 CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT #1
Print
Covered Entity Details
Entity Name
CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT #1
Subdivision Name
BAYSIDE COMMUNITY HOSPITAL
Type
HRSA-Funded Health Center
340B ID
CH0621770
Entity Address
200 HOSPITAL DRIVE
ANAHUAC, TX 77514
Grant Number
H80CS08788
Participating Start Date
9/1/2008
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1186
Pharmacy Address
2121 US BYPASS 146
LIBERTY, TX 77575
Pharmacy Comments
Contract Details
Approval Date
1/5/2014
Contract Begin Date
4/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/31/2015
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
STEVEN GULARTE, CEO
(409) 267-3143
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
1/5/2014
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