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WALMART PHARMACY 10-5169
CAH451370-00 Fannin County Hospital Authority
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Covered Entity Details
Entity Name
Fannin County Hospital Authority
Subdivision Name
TMC Bonham Hospital
Type
Critical Access Hospital
340B ID
CAH451370-00
Entity Address
504 Lipscomb St
Bonham, TX 75418
Medicare Provider Number
451370
Participating Start Date
4/1/2014
Last Recertification Date
9/11/2024
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
4/20/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Cody Hunter, Controller
(800) 932-8489 Ext: 67395
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
4/20/2023
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