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Walmart Pharmacy 10-7611
CAH501319-00 LEWIS COUNTY HOSPITAL DISTRICT #1 DBA ARBOR HEALTH
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Covered Entity Details
Entity Name
LEWIS COUNTY HOSPITAL DISTRICT #1 DBA ARBOR HEALTH
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH501319-00
Entity Address
521 Adams Avenue
MORTON, WA 98356
Medicare Provider Number
501319
Participating Start Date
7/1/2011
Last Recertification Date
9/4/2024
Pharmacy Details
Pharmacy Name
Walmart Pharmacy 10-7611
Pharmacy Address
2501 Perry Rd
Plainfield, IN 46168
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
Cheryl J Cornwell, CFO
(360) 496-3647
Contract Pharmacy Representative
Arbor Health
Cheryl J Cornwell, CFO
(360) 496-3647
Signed By Date
10/3/2023
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