340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-1069
CAH251323-00 SCOTT REGIONAL HOSPITAL
Print
Covered Entity Details
Entity Name
SCOTT REGIONAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH251323-00
Entity Address
317 HIGHWAY 13 SOUTH
MORTON, MS 39117
Medicare Provider Number
251323
Participating Start Date
1/1/2011
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1069
Pharmacy Address
231 EASTSIDE DRIVE
NEWTON, MS 39345
Pharmacy Comments
Contract Details
Approval Date
4/4/2017
Contract Begin Date
7/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/8/2018
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
MICHAEL EDWARDS, ADMINISTRATOR
(601) 732-6301 Ext: 1060
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
4/4/2017
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