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WALMART PHARMACY 10-3140
DSH050315 KERN MEDICAL CENTER
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Covered Entity Details
Entity Name
KERN MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH050315
Entity Address
1700 MT. VERNON AVE.
BAKERSFIELD, CA 93306
Medicare Provider Number
050315
Participating Start Date
10/1/1995
Last Recertification Date
8/13/2024
Pharmacy Details
Pharmacy Name
WALMART PHARMACY 10-3140
Pharmacy Address
3111 NORTH CHESTER
BAKERSFIELD, CA 93308
Pharmacy Comments
Contract Details
Approval Date
10/10/2018
Contract Begin Date
1/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/18/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Russell V Judd, Chief Executive Officer
(661) 326-2102
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
10/10/2018
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