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WAL-MART PHARMACY 10-5315
CAH351308-00 NELSON COUNTY HEALTH SYSTEM-HOSPITAL
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Covered Entity Details
Entity Name
NELSON COUNTY HEALTH SYSTEM-HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH351308-00
Entity Address
200 NORTH MAIN STREET
MCVILLE, ND 58254
Medicare Provider Number
351308
Participating Start Date
7/1/2017
Last Recertification Date
8/28/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-5315
Pharmacy Address
2354 COMMERCE PARK DR.
ORLANDO, FL 32819
Pharmacy Comments
Contract Details
Approval Date
1/6/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/24/2025
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Samantha Harding Harding, CEO
(701) 322-4314
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
1/6/2023
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