340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-1661
CH048120 KINSTON COMMUNITY HEALTH CENTER, INCORPORATED
Print
Covered Entity Details
Entity Name
KINSTON COMMUNITY HEALTH CENTER, INCORPORATED
Subdivision Name
KINSTON COMMUNITY HEALTH CENTER, INC.
Type
HRSA-Funded Health Center
340B ID
CH048120
Entity Address
324 North Queen Street
Kinston, NC 28501-4932
Grant Number
H80CS00104
Participating Start Date
1/1/1998
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1661
Pharmacy Address
4101 W. VERNON AVE
KINSTON, NC 28504-9672
Pharmacy Comments
Contract Details
Approval Date
10/21/2014
Contract Begin Date
1/1/2015
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
SANJA HUDSON, CEO
(252) 522-4350 Ext: 221
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
10/21/2014
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