340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-2069
CH102970 Rogue Community Health
Print
Covered Entity Details
Entity Name
Rogue Community Health
Subdivision Name
Medford Health Center
Type
HRSA-Funded Health Center
340B ID
CH102970
Entity Address
19 Myrtle St
Medford, OR 97504-7337
Grant Number
H80CS04204
Participating Start Date
9/9/2005
Last Recertification Date
3/4/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-2069
Pharmacy Address
1360 CENTER DR.
MEDFORD, OR 97501
Pharmacy Comments
Contract Details
Approval Date
10/14/2017
Contract Begin Date
1/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
WIlliam North, CEO
(541) 223-3172
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
10/14/2017
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