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WAL-MART PHARMACY #10-7245
CAH111328-00 Phoebe Worth Medical Center
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Covered Entity Details
Entity Name
Phoebe Worth Medical Center
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH111328-00
Entity Address
807 South Isabella Street
Sylvester, GA 31791-0545
Medicare Provider Number
111328
Participating Start Date
10/1/2011
Last Recertification Date
8/27/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY #10-7245
Pharmacy Address
1102 E. FRANKLIN
SYLVESTER, GA 31791
Pharmacy Comments
Contract Details
Approval Date
7/23/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Candace Guarnieri, VP of Finance
(229) 777-3851
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
7/23/2021
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