340B Drug Pricing Program Database
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Walmart Pharmacy 10-7611
CAH491300-00 Bath County Community Hospital, Inc.
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Covered Entity Details
Entity Name
Bath County Community Hospital, Inc.
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH491300-00
Entity Address
106 Park Drive
Hot Springs, VA 24445
Medicare Provider Number
491300
Participating Start Date
1/1/2014
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
10/9/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Tom Vandenhoven, CFO
(540) 839-7138
Contract Pharmacy Representative
Walmart
Julie Howard, 340b Program Manager
(479) 739-1973 Ext: 4792771498
Signed By Date
10/9/2023
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