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WALMART PHARMACY 10-5169
CAH061317-00 Grand River Hospital District
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Covered Entity Details
Entity Name
Grand River Hospital District
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH061317-00
Entity Address
501 Airport Rd
Rifle, CO 81650
Medicare Provider Number
061317
Participating Start Date
10/1/2012
Last Recertification Date
8/22/2024
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
Terry Collins, CFO
(970) 625-6462
Contract Pharmacy Representative
Walmart
Julie Howard, 340B Program Manager
(479) 277-1498
Signed By Date
7/6/2023
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