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WAL-MART PHARMACY 10-1299
SCH030007-00 VERDE VALLEY MEDICAL CENTER
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Covered Entity Details
Entity Name
VERDE VALLEY MEDICAL CENTER
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH030007-00
Entity Address
269 SOUTH CANDY LANE
COTTONWOOD, AZ 86326
Medicare Provider Number
030007
Participating Start Date
9/30/2010
Last Recertification Date
9/9/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1299
Pharmacy Address
2003 E. RODEO DRIVE
COTTONWOOD, AZ 86326
Pharmacy Comments
Contract Details
Approval Date
7/25/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/12/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Carole Peet, Chief Administrative Officer
(928) 639-6028
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
7/25/2019
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