340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-2243
SCH380040-00 St. Charles Health System, Inc., d/b/a St. Charles Redmond
Print
Covered Entity Details
Entity Name
St. Charles Health System, Inc., d/b/a St. Charles Redmond
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH380040-00
Entity Address
1253 NW Canal Blvd
Redmond, OR 97756
Medicare Provider Number
380040
Participating Start Date
7/1/2012
Last Recertification Date
9/9/2020
Entity Termination Date
10/1/2021
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-2243
Pharmacy Address
300 NW OAK TREE LANE
REDMOND, OR 97756
Pharmacy Comments
Contract Details
Approval Date
7/1/2016
Contract Begin Date
10/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/10/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Jennifer Rue Welander, Chief Financial Officer
(541) 706-7707
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
7/1/2016
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