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WALMART PHARMACY 10-5169
CAH241306-00 HealthPartners RC dba Olivia Hospital & Clinic
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Covered Entity Details
Entity Name
HealthPartners RC dba Olivia Hospital & Clinic
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH241306-00
Entity Address
100 Healthy Way
Olivia, MN 56277-1117
Medicare Provider Number
241306
Participating Start Date
10/1/2012
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
7/7/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/16/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Nancy Ann Anderson, Chief Financial Officer
(320) 523-3477
Contract Pharmacy Representative
Walmart
Julie Howard, 340b Program Manager
(479) 739-1973 Ext: 4792771498
Signed By Date
7/7/2023
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