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WAL-MART PHARMACY 10-5606
DSH050127 WOODLAND MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
WOODLAND MEMORIAL HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH050127
Entity Address
1325 COTTONWOOD ST
WOODLAND, CA 95695
Medicare Provider Number
050127
Participating Start Date
1/1/2005
Last Recertification Date
8/26/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-5606
Pharmacy Address
1250 E GIBSON ROAD
WOODLAND, CA 95776
Pharmacy Comments
Contract Details
Approval Date
10/4/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/31/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Joseph D'Angina, CFO
(530) 225-6121
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
10/4/2019
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