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WALMART PHARMACY 10-5169
RRC510050-00 WHEELING HOSPITAL
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Covered Entity Details
Entity Name
WHEELING HOSPITAL
Subdivision Name
Type
Rural Referral Center
340B ID
RRC510050-00
Entity Address
1 MEDICAL PARK
WHEELING, WV 26003
Medicare Provider Number
510050
Participating Start Date
4/1/2022
Last Recertification Date
8/23/2024
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
1/17/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Heidi Porter L Porter, Vice President of Quality and Regulatory Affairs
(304) 243-8377
Contract Pharmacy Representative
Walmart
Julie Howard, 340B Program Manager
(479) 277-1498
Signed By Date
1/17/2023
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