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WAL-MART PHARMACY 10-0178
CAH371341-00 Share Medical Center
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Covered Entity Details
Entity Name
Share Medical Center
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH371341-00
Entity Address
800 Share Drive
Alva, OK 73717
Medicare Provider Number
371341
Participating Start Date
10/1/2019
Last Recertification Date
8/12/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0178
Pharmacy Address
914 EAST OKLAHOMA BLVD.
ALVA, OK 73717
Pharmacy Comments
Contract Details
Approval Date
7/14/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kandice Allen, CEO
(580) 430-3309
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
7/14/2020
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