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WALMART PHARMACY 10-5169
CAH231312-00 SHERIDAN COMMUNITY HOSPITAL
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Covered Entity Details
Entity Name
SHERIDAN COMMUNITY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH231312-00
Entity Address
301 N MAIN STREET
SHERIDAN, MI 48884
Medicare Provider Number
231312
Participating Start Date
7/1/2017
Last Recertification Date
8/15/2024
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
4/14/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ljiljana Petricevic, CEO
(989) 291-6222
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
4/14/2023
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