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WALMART PHARMACY 10-5169
CAH161344-00 WASHINGTON COUNTY HOSPITAL
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Covered Entity Details
Entity Name
WASHINGTON COUNTY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH161344-00
Entity Address
400 E POLK ST.
WASHINGTON, IA 52353
Medicare Provider Number
161344
Participating Start Date
9/27/2010
Last Recertification Date
8/30/2024
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
Shelli Cleverley, CFO
(319) 863-3902
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
4/14/2023
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