340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-2306
HV00595 Whatley Health Services, Inc.
Print
Covered Entity Details
Entity Name
Whatley Health Services, Inc.
Subdivision Name
Maude L. Whatley Health Center
Type
Ryan White Part C
340B ID
HV00595
Entity Address
2731 Martin Luther King Jr. Blvd
Tuscaloosa, AL 35401-5235
Grant Number
H76HA00595
Participating Start Date
4/1/2013
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-2306
Pharmacy Address
5710 MCFARLAND BLVD
NORTHPORT, AL 35476
Pharmacy Comments
Contract Details
Approval Date
4/2/2014
Contract Begin Date
7/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/5/2021
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Deborah H. Tucker, CEO
(205) 349-3250 Ext: 6135
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
4/2/2014
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