340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-1282
CAH171371-00 CLAY COUNTY MEDICAL CENTER
Print
Covered Entity Details
Entity Name
CLAY COUNTY MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH171371-00
Entity Address
617 LIBERTY
CLAY CENTER, KS 67432
Medicare Provider Number
171371
Participating Start Date
1/1/2015
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1282
Pharmacy Address
140 EAST COLLEGE DRIVE
CONCORDIA, KS 66901
Pharmacy Comments
Contract Details
Approval Date
4/17/2017
Contract Begin Date
7/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
James Garbarino, Chief Financial Officer
(785) 632-2144 Ext: 577
Contract Pharmacy Representative
Healdsburg District Hospital
Kathi Phelps, Manager Contracting
(479) 277-3719
Signed By Date
4/17/2017
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