340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-3807
CH092870 CHIRICAHUA COMMUNITY HEALTH CENTERS INC
Print
Covered Entity Details
Entity Name
CHIRICAHUA COMMUNITY HEALTH CENTERS INC
Subdivision Name
Chiricahua Community Health Centers, Inc. Cliff Whetten Clinic
Type
HRSA-Funded Health Center
340B ID
CH092870
Entity Address
10566 N Highway 191
Elfrida, AZ 85610-9021
Grant Number
H80CS00696
Participating Start Date
7/1/1998
Last Recertification Date
3/3/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-3807
Pharmacy Address
201 SOUTH PRICKLY PEAR AVENUE
BENSON, AZ 85602
Pharmacy Comments
Contract Details
Approval Date
4/16/2018
Contract Begin Date
7/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jonathan Melk, CEO
(520) 227-9167
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
4/16/2018
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