340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-3260
CAH501317-00 Grant County Public Hospital District #3, dba Columbia Basin Hospital
Print
Covered Entity Details
Entity Name
Grant County Public Hospital District #3, dba Columbia Basin Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH501317-00
Entity Address
200 Nat Washington Way
Ephrata, WA 98823-1982
Medicare Provider Number
501317
Participating Start Date
7/1/2013
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-3260
Pharmacy Address
1399 NAT WASHINGTON WAY
EPHRATA, WA 98823
Pharmacy Comments
Contract Details
Approval Date
1/6/2014
Contract Begin Date
4/1/2014
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Rhonda Handly, Director of Finance
(509) 754-4631 Ext: 1230
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
1/6/2014
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