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WAL-MART PHARMACY 10-0842
CAH061316-00 Huerfano County Hospital District dba Spanish Peaks Regional Health
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Covered Entity Details
Entity Name
Huerfano County Hospital District dba Spanish Peaks Regional Health
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH061316-00
Entity Address
23500 US HIGHWAY 160
WALSENBURG, CO 81089
Medicare Provider Number
061316
Participating Start Date
4/1/2018
Last Recertification Date
8/26/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0842
Pharmacy Address
4200 DILLON DRIVE
PUEBLO, CO 81008
Pharmacy Comments
Contract Details
Approval Date
10/9/2018
Contract Begin Date
1/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Mary Cope, Chief Clinical Officer
(719) 738-5100 Ext: 582
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
10/9/2018
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