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WAL-MART PHARMACY 10-1947
CAH501321-00 NORTH VALLEY HOSPITAL
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Covered Entity Details
Entity Name
NORTH VALLEY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH501321-00
Entity Address
203 SOUTH WESTERN
TONASKET, WA 98855
Medicare Provider Number
501321
Participating Start Date
10/1/2019
Last Recertification Date
8/13/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1947
Pharmacy Address
PO BOX 3606
902 ENGH RD
OMAK, WA 98841
Pharmacy Comments
Contract Details
Approval Date
7/11/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
John McReynolds, CEO
(509) 486-3128
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
7/3/2019
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