340B Drug Pricing Program Database

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WAL-MART PHARMACY 10-1445
FQHCLA275 FAMILY HEALTH SERVICES OF ERIE COUNTY

Covered Entity Details

Health Center Program Look-Alike
FQHCLA275
1912 HAYES AVENUE
SANDUSKY, OH 44870
LALCS00098
4/1/2011
2/16/2015
10/1/2015


Pharmacy Details

2826 E. HARBOR ROAD
PORT CLINTON, OH 43452

Contract Details

4/27/2015
7/1/2015

10/1/2015
Covered Entity Terminated


Contacts


Wilson Forney, Chief Executive Officer
(419) 502-2818



Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
4/27/2015