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WAL-MART PHARMACY 10-2145
RRC390049-00 ST. LUKES HOSPITAL
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Covered Entity Details
Entity Name
ST. LUKES HOSPITAL
Subdivision Name
Type
Rural Referral Center
340B ID
RRC390049-00
Entity Address
801 OSTRUM STREET
BETHLEHEM, PA 18015
Medicare Provider Number
390049
Participating Start Date
10/1/2018
Last Recertification Date
9/13/2021
Entity Termination Date
1/1/2022
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-2145
Pharmacy Address
2601 MACARTHUR RD
WHITEHALL, PA 18052
Pharmacy Comments
Contract Details
Approval Date
7/21/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2022
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Elizabeth Artis, Finance Director
(484) 526-4707
Contract Pharmacy Representative
Walmart
Julie Howard, 340B Program Manager
(479) 277-1498
Signed By Date
7/21/2020
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