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WAL-MART PHARMACY 10-2145
RRC390133-00 LEHIGH VALLEY HOSPITAL
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Covered Entity Details
Entity Name
LEHIGH VALLEY HOSPITAL
Subdivision Name
Type
Rural Referral Center
340B ID
RRC390133-00
Entity Address
1200 South Cedar Crest Boulevard
Allentown, PA 18103
Medicare Provider Number
390133
Participating Start Date
1/1/2018
Last Recertification Date
8/31/2022
Entity Termination Date
1/1/2023
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-2145
Pharmacy Address
2601 MACARTHUR RD
WHITEHALL, PA 18052
Pharmacy Comments
Contract Details
Approval Date
10/13/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/1/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Thomas Marchozzi, Executive Vice President & Chief Financial Officer
(484) 862-3943
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
10/13/2021
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