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WALMART PHARMACY #10-4166
DSH440084 SWEETWATER HOSPITAL ASSOCIATION
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Covered Entity Details
Entity Name
SWEETWATER HOSPITAL ASSOCIATION
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH440084
Entity Address
304 WRIGHT STREET
SWEETWATER, TN 37874
Medicare Provider Number
440084
Participating Start Date
7/1/2023
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
WALMART PHARMACY #10-4166
Pharmacy Address
935 STATE HWY 11 SOUTH
SWEETWATER, TN 37874
Pharmacy Comments
Contract Details
Approval Date
10/6/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2022
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Ian McFadden, CEO
(865) 213-8525
Contract Pharmacy Representative
Walmart
Julie Howard, 340B Program Manager
(479) 277-1498
Signed By Date
10/6/2021
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