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WAL-MART PHARMACY 10-0558
CAH171358-00 LINDSBORG COMMUNITY HOSPITAL
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Covered Entity Details
Entity Name
LINDSBORG COMMUNITY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH171358-00
Entity Address
605 West Lincoln
Lindsborg, KS 67456
Medicare Provider Number
171358
Participating Start Date
10/1/2015
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0558
Pharmacy Address
2900 SOUTH 9TH STREET
SALINA, KS 67401
Pharmacy Comments
Contract Details
Approval Date
7/14/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/24/2025
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Larry VanDerWege, Administrator
(785) 227-3308 Ext: 100
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
7/14/2023
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