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Walmart Pharmacy 10-7611
CAH501328-00 Okanogan County Public Hospital District No. 3 Dba Mid-Valley Hospital
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Covered Entity Details
Entity Name
Okanogan County Public Hospital District No. 3 Dba Mid-Valley Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH501328-00
Entity Address
810 Jasmine Street
Omak, WA 98841
Medicare Provider Number
501328
Participating Start Date
10/1/2013
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
Walmart Pharmacy 10-7611
Pharmacy Address
2501 Perry Rd
Plainfield, IN 46168
Pharmacy Comments
Contract Details
Approval Date
10/4/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
John White, CEO
(509) 826-7640
Contract Pharmacy Representative
Okanogan County Public Hospital District No. 3 d/b/a Mid Valley Hospital
Holly Janelle Stanley, CFO
(509) 826-7674
Signed By Date
10/4/2023
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