340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-2326
FQHCLA344 Tri-County Family Medicine Program, Inc.
Print
Covered Entity Details
Entity Name
Tri-County Family Medicine Program, Inc.
Subdivision Name
Tri-County Family Medicine Program, Inc. - Admin
Type
Health Center Program Look-Alike
340B ID
FQHCLA344
Entity Address
10869 State Route 36
Dansville, NY 14437-0601
Grant Number
LALCS00181
Participating Start Date
1/1/2017
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-2326
Pharmacy Address
1000 STATE ROUTE 36
HORNELL, NY 14843
Pharmacy Comments
Contract Details
Approval Date
1/16/2017
Contract Begin Date
4/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Joyce Wheaton, CEO
(585) 335-3416
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
1/16/2017
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