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WALMART PHARMACY 10-5169
CAH531308-00 JOHNSON COUNTY HEALTHCARE
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Covered Entity Details
Entity Name
JOHNSON COUNTY HEALTHCARE
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH531308-00
Entity Address
497 W LOTT St
BUFFALO, WY 82834
Medicare Provider Number
531308
Participating Start Date
7/1/2018
Last Recertification Date
8/20/2024
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
4/5/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Luke Senden, CEO
(307) 684-6188
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
4/5/2023
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