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WALMART PHARMACY 10-5169
SCH390056-00 PENN HIGHLANDS HUNTINGDON
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Covered Entity Details
Entity Name
PENN HIGHLANDS HUNTINGDON
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH390056-00
Entity Address
1225 WARM SPRINGS AVENUE
HUNTINGDON, PA 16652-2350
Medicare Provider Number
390056
Participating Start Date
7/21/2021
Last Recertification Date
8/15/2023
Entity Termination Date
1/1/2024
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
1/19/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Joseph Myers, President, CEO
(814) 643-8445
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
1/19/2023
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