340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-2039
FQHCLA270 CASTLE FAMILY HEALTH CENTERS, INC.
Print
Covered Entity Details
Entity Name
CASTLE FAMILY HEALTH CENTERS, INC.
Subdivision Name
CASTLE FAMILY HEALTH CENTERS AT CASTLE
Type
Health Center Program Look-Alike
340B ID
FQHCLA270
Entity Address
3605 HOSPITAL ROAD
ATWATER, CA 95301-5173
Grant Number
LALCS00012
Participating Start Date
10/1/2010
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-2039
Pharmacy Address
3055 LOUGHBOROUGH DRIVE
MERCED, CA 95348
Pharmacy Comments
Contract Details
Approval Date
1/14/2013
Contract Begin Date
4/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/2/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Bill Able, CFO
(209) 724-4103
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
1/3/2013
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