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WALMART PHARMACY 10-5169
SCH500033-00 SAMARITAN HEALTHCARE
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Covered Entity Details
Entity Name
SAMARITAN HEALTHCARE
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH500033-00
Entity Address
801 EAST WHEELER ROAD
MOSES LAKE, WA 98837
Medicare Provider Number
500033
Participating Start Date
7/1/2020
Last Recertification Date
8/15/2024
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
10/3/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Alexander Town, Chief Financial Officer
(509) 793-9710
Contract Pharmacy Representative
Walmart
Julie Howard, 340B Program Manager
(479) 277-1498
Signed By Date
10/3/2023
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