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Walmart Pharmacy 10-7611
CAH391308-00 CORRY MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
CORRY MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH391308-00
Entity Address
965 SHAMROCK LANE
CORRY, PA 16407
Medicare Provider Number
391308
Participating Start Date
7/1/2015
Last Recertification Date
8/30/2024
Pharmacy Details
Pharmacy Name
Walmart Pharmacy 10-7611
Pharmacy Address
2501 Perry Rd
Plainfield, IN 46168
Pharmacy Comments
Contract Details
Approval Date
10/2/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Timothy McGahen, Chief Financial Officer
(814) 664-4641 Ext: 4105
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
10/2/2023
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