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WAL-MART PHARMACY 10-1477
CAH511301-00 WEBSTER MEMORIAL HOSPITAL, INC.
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Covered Entity Details
Entity Name
WEBSTER MEMORIAL HOSPITAL, INC.
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH511301-00
Entity Address
125 Diana Drive
WEBSTER SPRINGS, WV 26288
Medicare Provider Number
511301
Participating Start Date
4/1/2011
Last Recertification Date
8/22/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1477
Pharmacy Address
200 WAL STREET
SUMMERSVILLE, WV 26651
Pharmacy Comments
Contract Details
Approval Date
4/13/2021
Contract Begin Date
7/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Dalila Lou Miller, Director of Business Operations
(304) 847-5682 Ext: 3100
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
4/13/2021
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