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WALMART PHARMACY 10-5169
CAH261331-00 FREEMAN NEOSHO HOSPITAL
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Covered Entity Details
Entity Name
FREEMAN NEOSHO HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH261331-00
Entity Address
113 W. HICKORY STREET
NEOSHO, MO 64850
Medicare Provider Number
261331
Participating Start Date
9/20/2010
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
Jeff Thompson, Chief Clinical Officer
(417) 347-3563
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
4/11/2023
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