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WAL-MART PHARMACY 10-2319
CAH501339-00 WHIDBEY GENERAL HOSPITAL
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Covered Entity Details
Entity Name
WHIDBEY GENERAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH501339-00
Entity Address
101 N MAIN ST
Inpatient Pharmacy
COUPEVILLE, WA 98239
Medicare Provider Number
501339
Participating Start Date
10/1/2018
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-2319
Pharmacy Address
1250 S.W. ERIE STREET
OAK HARBOR, WA 98277
Pharmacy Comments
Contract Details
Approval Date
10/16/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ronald Lawrence Telles, Chief Financial Officer
(306) 678-7656
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
10/16/2019
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