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WALMART PHARMACY 10-5169
CAH531312-00 West Park Hospital District
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Covered Entity Details
Entity Name
West Park Hospital District
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH531312-00
Entity Address
707 Sheridan Ave
Cody, WY 82414
Medicare Provider Number
531312
Participating Start Date
7/1/2012
Last Recertification Date
8/29/2024
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
4/11/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Hannah McRae, CFO
(307) 578-2490
Contract Pharmacy Representative
Cody Regional Health
Doug Wenke, Director of Pharmacy
(307) 578-2273
Signed By Date
4/11/2023
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