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WAL-MART PHARMACY 10-0626
CAH451308-00 YOAKUM COUNTY HOSPITAL
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Covered Entity Details
Entity Name
YOAKUM COUNTY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH451308-00
Entity Address
412 MUSTANG AVE
DENVER CITY, TX 79323
Medicare Provider Number
451308
Participating Start Date
8/12/2010
Last Recertification Date
8/13/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0626
Pharmacy Address
2000 HOBBS HIGHWAY
P.O. BOX 1807
SEMINOLE, TX 79360
Pharmacy Comments
Contract Details
Approval Date
1/10/2019
Contract Begin Date
4/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
SUANN PARRISH, CFO
(806) 592-2121 Ext: 562
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
1/10/2019
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