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WALMART PHARMACY #10-4303
CAN100079-00 UNIVERSITY OF MIAMI HOSPITAL AND CLINICS
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Covered Entity Details
Entity Name
UNIVERSITY OF MIAMI HOSPITAL AND CLINICS
Subdivision Name
Type
Free Standing Cancer Hospital
340B ID
CAN100079-00
Entity Address
1475 NW 12th Avenue
2080A
Miami, FL 33136
Medicare Provider Number
100079
Participating Start Date
1/1/2011
Last Recertification Date
8/22/2024
Pharmacy Details
Pharmacy Name
WALMART PHARMACY #10-4303
Pharmacy Address
3200 NW 79TH STREET
MIAMI, FL 33147
Pharmacy Comments
Contract Details
Approval Date
5/10/2018
Contract Begin Date
7/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/3/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Michael Gittelman, CEO
(305) 326-6111
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
5/10/2018
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