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WALMART PHARMACY 10-5169
DSH250067 CLAY COUNTY MEDICAL CORPORATION
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Covered Entity Details
Entity Name
CLAY COUNTY MEDICAL CORPORATION
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH250067
Entity Address
150 Medical Center Drive
WEST POINT, MS 39773
Medicare Provider Number
250067
Participating Start Date
4/1/2015
Last Recertification Date
9/10/2024
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
4/12/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
BRUCE J. TOPPIN, GENERAL COUNSEL, PRIVACY OFFICER & COPORATE SECRETARY
(662) 377-4229
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
4/12/2023
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