340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-0680
DSH440050 Greeneville Community Hospital
Print
Covered Entity Details
Entity Name
Greeneville Community Hospital
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH440050
Entity Address
1420 Tusculum Blvd
GREENEVILLE, TN 37745
Medicare Provider Number
440050
Participating Start Date
7/1/2009
Last Recertification Date
8/30/2023
Entity Termination Date
1/1/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0680
Pharmacy Address
3755 E. ANDREW JOHNSON HWY
GREENVILLE, TN 37745
Pharmacy Comments
Contract Details
Approval Date
4/9/2014
Contract Begin Date
7/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/3/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
STEVEN MILLER, VP FINANCE/CFO
(606) 598-1035
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
4/9/2014
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