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WAL-MART PHARMACY 10-1019
CAH061344-00 St. Thomas More Hospital
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Covered Entity Details
Entity Name
St. Thomas More Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH061344-00
Entity Address
1338 PHAY AVENUE
CANON CITY, CO 81212
Medicare Provider Number
061344
Participating Start Date
7/1/2019
Last Recertification Date
9/8/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1019
Pharmacy Address
3105 HWY 50 EAST
CANON CITY, CO 81212
Pharmacy Comments
Contract Details
Approval Date
4/10/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kristi Olson, Chief Executive Officer
(719) 285-2039
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
4/10/2020
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