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WAL-MART PHARMACY 10-0914
CAH261329-00 COX MONETT HOSPITAL, INC.
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Covered Entity Details
Entity Name
COX MONETT HOSPITAL, INC.
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH261329-00
Entity Address
1000 E HWY 60
MONETT, MO 65708
Medicare Provider Number
261329
Participating Start Date
1/1/2011
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0914
Pharmacy Address
1401 OLD EXETER ROAD
CASSVILLE, MO 65625
Pharmacy Comments
Contract Details
Approval Date
4/7/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Darren Bass, President
(417) 354-1407
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
4/7/2019
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