340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-0862
SCH110124-00 Wayne Memorial Hospital
Print
Covered Entity Details
Entity Name
Wayne Memorial Hospital
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH110124-00
Entity Address
865 South First Street
Jesup, GA 31545
Medicare Provider Number
110124
Participating Start Date
1/1/2012
Last Recertification Date
8/19/2019
Entity Termination Date
7/1/2020
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0862
Pharmacy Address
751 WEST OGLETHORPE HWY.
HINESVILLE, GA 31313
Pharmacy Comments
Contract Details
Approval Date
9/5/2012
Contract Begin Date
9/5/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/31/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Gregory A. Jones, CFO
(912) 530-3305
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
8/29/2012
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