340B Drug Pricing Program Database

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WAL-MART PHARMACY 10-5113
HV358011 AIDS ACTION COALITION/DAVIS CLINIC

Covered Entity Details

Ryan White Part C
HV358011
600 ST CLAIR BLDG 3
HUNTSVILLE, AL 35801
H76HA00624
4/1/2001
1/30/2019
4/1/2020


Pharmacy Details

165 VAUGHAN LN
PELL CITY, AL 35125

Contract Details

10/16/2017
1/1/2018

4/1/2020
Covered Entity Terminated


Contacts


Mary Elizabeth Marr, Chief Executive Officer
(256) 536-4700 Ext: 121



WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
10/16/2017