340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-0736
CH048070 COMMUNITY HEALTH CENTERS OF WESTERN KENTUCKY, INC.
Print
Covered Entity Details
Entity Name
COMMUNITY HEALTH CENTERS OF WESTERN KENTUCKY, INC.
Subdivision Name
CHCS OF WESTERN KENTUCKY, INC.
Type
HRSA-Funded Health Center
340B ID
CH048070
Entity Address
480 HOPKINSVILLE ST,
GREENVILLE, KY 42345-1124
Grant Number
H80CS00562
Participating Start Date
10/1/1997
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0736
Pharmacy Address
120 SAM WALTON DRIVE
RUSSELLVILLE, KY 42276
Pharmacy Comments
Contract Details
Approval Date
4/3/2017
Contract Begin Date
7/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Roger Arbuckle, CEO
(270) 338-5777
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
4/3/2017
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