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WALMART PHARMACY 10-5169
CAH281307-00 Saunders Medical Center
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Covered Entity Details
Entity Name
Saunders Medical Center
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH281307-00
Entity Address
1760 COUNTY ROAD "J"
WAHOO, NE 68066
Medicare Provider Number
281307
Participating Start Date
4/1/2011
Last Recertification Date
8/20/2024
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
Contract Termination Date
Termination Reason
1/1/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Julie Rezac, CEO
(402) 443-4191 Ext: 343
Contract Pharmacy Representative
Walmart
Tisha Campbell, Director of Contracting
(949) 872-4138
Signed By Date
4/14/2023
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