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WAL-MART PHARMACY 10-1064
DSH340075 Blue Ridge HealthCare Hospitals, Inc
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Covered Entity Details
Entity Name
Blue Ridge HealthCare Hospitals, Inc
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH340075
Entity Address
2201 SOUTH STERLING STREET
MORGANTON, NC 28655
Medicare Provider Number
340075
Participating Start Date
12/6/2005
Last Recertification Date
8/28/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1064
Pharmacy Address
935 BLOWING ROCK BLVD
LENOIR, NC 28645
Pharmacy Comments
Contract Details
Approval Date
10/3/2012
Contract Begin Date
10/3/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/1/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Kenneth W. Wood, President and CEO
(828) 580-5000
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
9/10/2012
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