340B Drug Pricing Program Database

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Effective Sunday, September 1, OPA is implementing a change to the export format for Medicaid and NPI numbers. This change affects covered entity exports that include Medicaid and/or NPI billing numbers, and the CE Daily Report in Excel format. If the number is associated with more than one state, all the states will be listed between one set of parentheses following the number - for example, 1275575227 (IN,MI,OH). This change is necessary to ensure that the exported data does not exceed Excel’s limit for field length.

WAL-MART PHARMACY 10-5997
CAH021311-00 PEACEHEALTH D/B/A KETCHIKAN MEDICAL CENTER

Covered Entity Details

Critical Access Hospital
CAH021311-00
3100 TONGASS AVE
KETCHIKAN, AK 99901
021311
7/1/2011
8/13/2024


Pharmacy Details

9600 PARKSOUTH CT. SUITE 100
ORLANDO, FL 32837

Contract Details

1/8/2021
4/1/2021


Contacts


Krista N Touros, CFO
(360) 788-6754 Ext: 6754



Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
1/8/2021