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WAL-MART PHARMACY 10-5315
CAH181320-00 Livingston Hospital and Healthcare Services, Inc.
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Covered Entity Details
Entity Name
Livingston Hospital and Healthcare Services, Inc.
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH181320-00
Entity Address
131 Hospital Drive
Salem, KY 42078
Medicare Provider Number
181320
Participating Start Date
7/1/2014
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-5315
Pharmacy Address
2354 COMMERCE PARK DR.
ORLANDO, FL 32819
Pharmacy Comments
Contract Details
Approval Date
7/1/2022
Contract Begin Date
10/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Rod Shane Whittington, CEO
(270) 988-7236
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
7/1/2022
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