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WAL-MART PHARMACY 10-0749
CAH161361-00 Hamilton County Public Hospital d/b/a Van Diest Medical Center
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Covered Entity Details
Entity Name
Hamilton County Public Hospital d/b/a Van Diest Medical Center
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH161361-00
Entity Address
2350 Hospital Drive
Webster City, IA 50595
Medicare Provider Number
161361
Participating Start Date
4/1/2014
Last Recertification Date
8/21/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0749
Pharmacy Address
3105 GRAND AVENUE
AMES, IA 50010
Pharmacy Comments
Contract Details
Approval Date
7/15/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/28/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Alice Heinrichs, CFO
(515) 832-7751
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
7/15/2020
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