340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-0785
CH040570 FAMILY HEALTH CENTER INC
Print
Covered Entity Details
Entity Name
FAMILY HEALTH CENTER INC
Subdivision Name
FAMILY HEALTH CENTER, INC.
Type
HRSA-Funded Health Center
340B ID
CH040570
Entity Address
117 S 11th Ave
Laurel, MS 39440-4312
Grant Number
H80CS00538
Participating Start Date
10/1/1995
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0785
Pharmacy Address
1350 AZALEA DR
WAYNESBORO, MS 39367
Pharmacy Comments
Contract Details
Approval Date
10/11/2016
Contract Begin Date
1/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Rashad Ali, CEO
(601) 425-3033 Ext: 156
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
10/11/2016
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