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WAL-MART PHARMACY 10-3229
CAH451352-00 HARDEMAN COUNTY HOSPITAL
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Covered Entity Details
Entity Name
HARDEMAN COUNTY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH451352-00
Entity Address
402 MERCER ST
QUANAH, TX 79252
Medicare Provider Number
451352
Participating Start Date
7/1/2019
Last Recertification Date
8/13/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-3229
Pharmacy Address
3800 HWY 287 WEST
VERNON, TX 76384
Pharmacy Comments
Contract Details
Approval Date
4/10/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Dennis Thomas, CEO
(940) 663-2795
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
4/10/2019
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