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WALMART PHARMACY 10-5169
CAH231314-00 McKenzie Memorial Hospital
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Covered Entity Details
Entity Name
McKenzie Memorial Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH231314-00
Entity Address
120 Delaware Street
Sandusky, MI 48471
Medicare Provider Number
231314
Participating Start Date
7/1/2013
Last Recertification Date
9/3/2024
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
Amy Ruedisueli, CFO
(810) 648-6162
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
4/11/2023
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