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WAL-MART PHARMACY 10-1483
SCH430012-00 AVERA SACRED HEART HOSPITAL
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Covered Entity Details
Entity Name
AVERA SACRED HEART HOSPITAL
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH430012-00
Entity Address
501 SUMMIT ST
YANKTON, SD 57078
Medicare Provider Number
430012
Participating Start Date
4/21/2022
Last Recertification Date
8/28/2023
Entity Termination Date
1/1/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1483
Pharmacy Address
3001 BROADWAY AVE.
YANKTON, SD 57078
Pharmacy Comments
Contract Details
Approval Date
4/21/2022
Contract Begin Date
4/21/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Melissa Goff, Vice President - Pharmacy
(605) 322-8548
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
4/13/2022
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