340B Drug Pricing Program Database
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Walmart Pharmacy 10-7611
CAH501305-00 Lincoln County Public Hospital District No. 3
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Covered Entity Details
Entity Name
Lincoln County Public Hospital District No. 3
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH501305-00
Entity Address
10 Nicholls St
Davenport, WA 99122
Medicare Provider Number
501305
Participating Start Date
7/1/2012
Last Recertification Date
8/28/2024
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
Tim O'Connell, CFO
(509) 725-2979 Ext: 1157
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
10/4/2023
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