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WAL-MART PHARMACY 10-1675
DSH180025 ST. JOE. - FLAGET
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Covered Entity Details
Entity Name
ST. JOE. - FLAGET
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH180025
Entity Address
4305 NEW SHEPHERDSVILLE RD
BARDSTOWN, KY 40004
Medicare Provider Number
180025
Participating Start Date
4/1/2016
Last Recertification Date
8/30/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1675
Pharmacy Address
2136 CAMPBELLSVILLE RD
LEBANON, KY 40033
Pharmacy Comments
Contract Details
Approval Date
4/16/2020
Contract Begin Date
7/1/2020
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
Jennifer C Nolan, President
(502) 350-5044
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
4/16/2020
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