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WALMART PHARMACY 10-5169
CAH261325-00 Cox Barton County Hospital
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Covered Entity Details
Entity Name
Cox Barton County Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH261325-00
Entity Address
29 NW 1st Lane
Lamar, MO 64759-8105
Medicare Provider Number
261325
Participating Start Date
4/1/2012
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
4/20/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Christopher Wyatt, President
(417) 681-5108
Contract Pharmacy Representative
Walmart
Julie Howard, 340b Program Manager
(479) 739-1973 Ext: 4792771498
Signed By Date
4/20/2023
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