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WAL-MART PHARMACY 10-5315
CAH451300-00 PARMER COUNTY COMMUNITY HOSPT. INC.
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Covered Entity Details
Entity Name
PARMER COUNTY COMMUNITY HOSPT. INC.
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH451300-00
Entity Address
1307 CLEVELAND STREET
FRIONA, TX 79035
Medicare Provider Number
451300
Participating Start Date
10/1/2014
Last Recertification Date
9/10/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-5315
Pharmacy Address
2354 COMMERCE PARK DR.
ORLANDO, FL 32819
Pharmacy Comments
Contract Details
Approval Date
10/18/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Gayla Quillin, CEO/Administrator
(806) 250-2754
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
10/18/2021
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