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WAL-MART PHARMACY 10-0143
CAH181327-00 MARSHALL COUNTY HOSPITAL
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Covered Entity Details
Entity Name
MARSHALL COUNTY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH181327-00
Entity Address
615 OLD SYMSONIA RD
BENTON, KY 42025
Medicare Provider Number
181327
Participating Start Date
7/1/2018
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0143
Pharmacy Address
310 WEST 5TH STREET
BENTON, KY 42025
Pharmacy Comments
Contract Details
Approval Date
7/17/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
David Fuqua, CEO
(270) 527-4850
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
7/17/2018
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