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WAL-MART PHARMACY 10-0262
CAH141334-00 SAINT JOSEPH MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
SAINT JOSEPH MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH141334-00
Entity Address
2 SOUTH HOSPITAL DRIVE
MURPHYSBORO, IL 62966
Medicare Provider Number
141334
Participating Start Date
9/28/2010
Last Recertification Date
9/5/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0262
Pharmacy Address
919 GIACONE DR
BENTON, IL 62812
Pharmacy Comments
Contract Details
Approval Date
4/14/2022
Contract Begin Date
7/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
REX BUDDE, CEO
(618) 457-5200
Contract Pharmacy Representative
Walmart
Julie Howard, 340B Program Manager
(479) 277-1498
Signed By Date
4/14/2022
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