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WAL-MART PHARMACY 10-1828
SCH520037-00 MARSHFIELD MEDICAL CENTER
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Covered Entity Details
Entity Name
MARSHFIELD MEDICAL CENTER
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH520037-00
Entity Address
611 ST JOSEPH AVENUE
MARSHFIELD, WI 54449
Medicare Provider Number
520037
Participating Start Date
7/1/2025
Last Recertification Date
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1828
Pharmacy Address
250 CROSSROADS DRIVE
PLOVER, WI 54467
Pharmacy Comments
Contract Details
Approval Date
4/5/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Edward H Wolf, Chief Administrator Officer
(715) 387-7030
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
4/5/2019
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