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WAL-MART PHARMACY 10-5315
DSH190140 FRANKLIN MEDICAL CENTER
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Covered Entity Details
Entity Name
FRANKLIN MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH190140
Entity Address
2106 LOOP ROAD
WINNSBORO, LA 71295
Medicare Provider Number
190140
Participating Start Date
1/1/2011
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-5315
Pharmacy Address
2354 COMMERCE PARK DR.
ORLANDO, FL 32819
Pharmacy Comments
Contract Details
Approval Date
7/14/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/2/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
MICHAEL BLAKE KRAMER, CEO
(318) 412-5265
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
7/14/2020
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