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WAL-MART PHARMACY 10-1024
CAH111334-00 Candler County Hospital
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Covered Entity Details
Entity Name
Candler County Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH111334-00
Entity Address
400 Cedar Street
Metter, GA 30439
Medicare Provider Number
111334
Participating Start Date
4/1/2014
Last Recertification Date
8/16/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1024
Pharmacy Address
414 MAIN ST.
SWAINSBORO, GA 30401
Pharmacy Comments
Contract Details
Approval Date
10/12/2018
Contract Begin Date
1/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Karen O'Neal, CEO
(912) 685-1704
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
10/12/2018
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