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WAL-MART PHARMACY 10-2810
CH034190 MINNIE HAMILTON HEALTH CARE CENTER
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Covered Entity Details
Entity Name
MINNIE HAMILTON HEALTH CARE CENTER
Subdivision Name
MINNIE HAMILTON HEALTH CARE CENTER
Type
HRSA-Funded Health Center
340B ID
CH034190
Entity Address
186 Hospital Dr
Grantsville, WV 26147-7100
Grant Number
H80CS00761
Participating Start Date
1/1/2004
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-2810
Pharmacy Address
97 WILLIAMS DRIVE
SPENCER, WV 25276
Pharmacy Comments
Contract Details
Approval Date
4/6/2015
Contract Begin Date
7/1/2015
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Stephen S. Whited, CEO
(304) 354-9244 Ext: 1163
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
4/6/2015
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