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WALMART PHARMACY 10-5169
CAH281359-00 MEMORIAL COMMUNITY HOSPITAL
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Covered Entity Details
Entity Name
MEMORIAL COMMUNITY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH281359-00
Entity Address
810 N. 22ND ST
BLAIR, NE 68008
Medicare Provider Number
281359
Participating Start Date
1/1/2011
Last Recertification Date
8/14/2024
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
4/17/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
JENNIFER NEWBY, Operations Director, Finance and Support Services
(402) 426-1295
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
4/17/2023
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