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Walmart Pharmacy 10-7611
CAH141331-00 MARSHALL BROWNING HOSPITAL ASSOCIATION
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Covered Entity Details
Entity Name
MARSHALL BROWNING HOSPITAL ASSOCIATION
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH141331-00
Entity Address
900 NORTH WASHINGTON STREET
DU QUOIN, IL 62832
Medicare Provider Number
141331
Participating Start Date
10/1/2016
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
Walmart Pharmacy 10-7611
Pharmacy Address
2501 Perry Rd
Plainfield, IN 46168
Pharmacy Comments
Contract Details
Approval Date
10/5/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Harold Calderon, CFO
(618) 542-2146 Ext: 1420
Contract Pharmacy Representative
Walmart
Julie Howard, 340B Program Manager
(479) 277-1498
Signed By Date
10/5/2023
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