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WALMART PHARMACY 10-5169
CAH171363-00 Community Memorial Healthcare, Inc
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Covered Entity Details
Entity Name
Community Memorial Healthcare, Inc
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH171363-00
Entity Address
708 N. 18th
Marysville, KS 66508-1338
Medicare Provider Number
171363
Participating Start Date
4/1/2012
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
4/10/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Curtis R. Hawkinson, CEO
(785) 562-4380
Contract Pharmacy Representative
Walmart
Tisha Campbell, Director of Contracting
(949) 872-4138
Signed By Date
4/10/2023
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