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WAL-MART PHARMACY 10-0515
CAH341328-00 MURPHY MEDICAL CENTER dba Erlanger Western Carolina Hospital
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Covered Entity Details
Entity Name
MURPHY MEDICAL CENTER dba Erlanger Western Carolina Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH341328-00
Entity Address
3990 E US HIGHWAY 64 ALT
MURPHY, NC 28906
Medicare Provider Number
341328
Participating Start Date
4/1/2015
Last Recertification Date
9/4/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0515
Pharmacy Address
93 RICK RAMSEY ST.
MURPHY, NC 28906
Pharmacy Comments
Contract Details
Approval Date
4/9/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/26/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
BRITTON J. TABOR, CFO
(423) 778-7729
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
4/9/2020
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