340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-2893
CAH171344-00 WILSON MEDICAL CENTER
Print
Covered Entity Details
Entity Name
WILSON MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH171344-00
Entity Address
2600 OTTAWA ROAD
NEODESHA, KS 66757
Medicare Provider Number
171344
Participating Start Date
4/1/2017
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-2893
Pharmacy Address
121 SO. PETER PAN ROAD
INDEPENDENCE, KS 67301
Pharmacy Comments
Contract Details
Approval Date
2/9/2017
Contract Begin Date
4/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
John Gutschenritter, CFO
(620) 325-8388
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
2/9/2017
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