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WAL-MART PHARMACY 10-4678
SCH460007-00 IHC HEALTH SERVICES, INC. DBA: CEDAR CITY HOSPITAL
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Covered Entity Details
Entity Name
IHC HEALTH SERVICES, INC. DBA: CEDAR CITY HOSPITAL
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH460007-00
Entity Address
1303 NORTH MAIN
CEDAR CITY, UT 84720
Medicare Provider Number
460007
Participating Start Date
10/1/2019
Last Recertification Date
Entity Termination Date
7/1/2020
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-4678
Pharmacy Address
180 NORTH 3400 WEST
HURRICANE, UT 84737
Pharmacy Comments
Contract Details
Approval Date
8/5/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/3/2020
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Craig Dale Corry, Finance Director
(435) 868-5819
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
7/10/2019
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