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WAL-MART PHARMACY 10-0417
DSH450236 CHRISTUS Mother Frances Hospital-Sulphur Springs - CHRISTUS Hopkins Health Alliance
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Covered Entity Details
Entity Name
CHRISTUS Mother Frances Hospital-Sulphur Springs - CHRISTUS Hopkins Health Alliance
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH450236
Entity Address
115 AIRPORT ROAD
SULPHUR SPRINGS, TX 75482
Medicare Provider Number
450236
Participating Start Date
1/1/2018
Last Recertification Date
8/16/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0417
Pharmacy Address
1750 S. BROADWAY STREET
SULPHUR SPRINGS, TX 75482
Pharmacy Comments
Contract Details
Approval Date
7/15/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Paul Harvey, CEO
(903) 439-4052
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
7/15/2019
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