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WAL-MART PHARMACY 10-5315
CAH131308-00 CASCADE MEDICAL CENTER
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Covered Entity Details
Entity Name
CASCADE MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH131308-00
Entity Address
402 Lake Cascade Parkway
CASCADE, ID 83611-0151
Medicare Provider Number
131308
Participating Start Date
4/1/2018
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-5315
Pharmacy Address
2354 COMMERCE PARK DR.
ORLANDO, FL 32819
Pharmacy Comments
Contract Details
Approval Date
7/17/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
David Donnahoo, CFO
(208) 382-4285 Ext: 1100
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
7/17/2023
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