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WALMART PHARMACY 10-5169
CAH181327-00 MARSHALL COUNTY HOSPITAL
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Covered Entity Details
Entity Name
MARSHALL COUNTY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH181327-00
Entity Address
615 OLD SYMSONIA RD
BENTON, KY 42025
Medicare Provider Number
181327
Participating Start Date
7/1/2018
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
7/6/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
David Fuqua, CEO
(270) 527-4850
Contract Pharmacy Representative
mch
kristi cherry, pharm dir
(270) 527-4885
Signed By Date
7/6/2023
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