340B Drug Pricing Program Database

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Effective Sunday, September 1, OPA is implementing a change to the export format for Medicaid and NPI numbers. This change affects covered entity exports that include Medicaid and/or NPI billing numbers, and the CE Daily Report in Excel format. If the number is associated with more than one state, all the states will be listed between one set of parentheses following the number - for example, 1275575227 (IN,MI,OH). This change is necessary to ensure that the exported data does not exceed Excel’s limit for field length.

Walmart Pharmacy 10-7611
CAH031319-00 MT. GRAHAM REGIONAL MEDICAL CENTER

Covered Entity Details

Critical Access Hospital
CAH031319-00
1600 S 20th Avenue
SAFFORD, AZ 85546
031319
1/1/2023
8/19/2024


Pharmacy Details

2501 Perry Rd
Plainfield, IN 46168

Contract Details

10/5/2023
1/1/2024


Contacts


Kathleen Louise Williams, VP of Finance / Chief Financial Officer
(928) 348-4060



Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
10/5/2023