340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-0506
CH052130 CHRISTOPHER RURAL HEALTH PLANNING CORP.
Print
Covered Entity Details
Entity Name
CHRISTOPHER RURAL HEALTH PLANNING CORP.
Subdivision Name
REA CLINIC
Type
HRSA-Funded Health Center
340B ID
CH052130
Entity Address
4241 HWY 14 WEST
CHRISTOPHER, IL 62822
Grant Number
H80CS00726
Participating Start Date
10/1/1998
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0506
Pharmacy Address
1540 N WORTHY
FLORA, IL 62839
Pharmacy Comments
Contract Details
Approval Date
1/8/2016
Contract Begin Date
4/1/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
KIMBERLY MITROKA, CEO
(618) 724-2436 Ext: 242
Contract Pharmacy Representative
Wal-Mart
marcus osborne, vp 340Bprogram
(714) 141-2414
Signed By Date
1/8/2016
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