Contract Pharmacy Details

WALMART PHARMACY 10-7177
CHC10592-00 HCHC Stone Port

Covered Entity Details

Entity Name

HCHC Stone Port

Subdivision Name

Harrisonburg Community Health Center

Type

HRSA-Funded Health Center

340B ID

CHC10592-00

Entity Address

1380 Little Sorrell Drive
Suite #100
HARRISONBURG, VA 22801

Grant Number

H80CS10592

Participating Start Date

10/1/2009

Last Recertification Date

2/12/2025

Pharmacy Details

Pharmacy Name

WALMART PHARMACY 10-7177

Pharmacy Address

1942 PORT REPUBLIC ROAD
ROCKINGHAM, VA 22801

Pharmacy Comments

Contract Details

Approval Date

10/3/2016

Contract Begin Date

1/1/2017

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Lisa B. Bricker, EXECUTIIVE DIRECTOR
(540) 236-3683

Contract Pharmacy Representative

Walmart
Julie Howard, 340B Program Manager
(479) 277-1498

Signed By Date

10/3/2016

340B Drug Pricing Program Database