340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-5864
CAH291306-00 Washoe Barton Medical Clinic DBA: Carson Valley Health
Print
Covered Entity Details
Entity Name
Washoe Barton Medical Clinic DBA: Carson Valley Health
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH291306-00
Entity Address
1107 Highway 395 North
GARDNERVILLE, NV 89410-7030
Medicare Provider Number
291306
Participating Start Date
1/1/2011
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-5864
Pharmacy Address
1511 GRANT AVE
GARDNERVILLE, NV 89410
Pharmacy Comments
Contract Details
Approval Date
10/14/2013
Contract Begin Date
1/1/2014
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Linda Rowe, CNO
(775) 782-1650
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
10/14/2013
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