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WALMART PHARMACY 10-5169
CAH251334-00 CHOCTAW REGIONAL MEDICAL CENTER
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Covered Entity Details
Entity Name
CHOCTAW REGIONAL MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH251334-00
Entity Address
8613 MS HWY 12
ACKERMAN, MS 39735
Medicare Provider Number
251334
Participating Start Date
7/1/2015
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
WALMART PHARMACY 10-5169
Pharmacy Address
2252 NORTH 8TH STREET
SUITE A
ROGERS, AR 72756
Pharmacy Comments
Contract Details
Approval Date
1/13/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Steve Marinelli, CEO
(662) 285-4400
Contract Pharmacy Representative
Walmart
Julie Howard, 340b Program Manager
(479) 739-1973 Ext: 4792771498
Signed By Date
1/13/2023
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