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WAL-MART PHARMACY 10-0812
CAH451386-00 Moore County Hospital District d/b/a Memorial Hospital
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Covered Entity Details
Entity Name
Moore County Hospital District d/b/a Memorial Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH451386-00
Entity Address
224 E. Second Street
Dumas, TX 79029
Medicare Provider Number
451386
Participating Start Date
4/1/2018
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0812
Pharmacy Address
2003 S. DUMAS AVE
DUMAS, TX 79029
Pharmacy Comments
Contract Details
Approval Date
7/13/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
JEFF Ray TURNER, CEO
(806) 935-7171
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
7/13/2018
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